Анкета - Rosas del Corazón

The b2b form of cooperation

1. Your Name *

2. Your Company *

3. Your Country *

4. Your City

5. Delivery Address

6. Is this your first experience purchasing a flower directly? *

6.1 Which plantations do you already work with?

7. Do you have a transportation company that carries a flower from Quito to your city? *

7.1 Please write the name of your transportation company that you work with?

8. What is your business? *

8.1 The name of the flower shops:

9. Which varieties of roses are you particularly interested in?

10. How many times a week do you already buy or plan to buy? *

11. What is the most convenient way for you to make a payment? *
Transport companySWIFT transferUSDT / crypto exchangerPayment by QR codeCash

12. Your e-mail *

13. Your phone/WhatsApp *

14. Telegram

15. Instagram

16. Website