Thank you for your interest in Verdissimo products Please fill out these questions to help us provide you with the most precise possible answer Personal and Company information Name* Email* Country* ---AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBolivia, Plurinational State ofBosnia and HerzegovinaBotswanaBrazilBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongoCongo, the Democratic Republic of theCosta RicaCroatiaCubaCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIran, Islamic Republic ofIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedonia, the former Yugoslav Republic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesia, Federated States ofMoldova, Republic ofMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussian FederationRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyrian Arab RepublicTajikistanTanzania, United Republic ofThailandTimor-LesteTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuela, Bolivarian Republic ofViet NamYemenZambiaZimbabwe City or postal code* Company Company ID/VAT/IVA Phone (Include Area Code) * Web site Next Information about your company What is your company’s core business o main activity?* Fresh/Cut flowersPreserved FlowersGifts/Floral MaterialsArchitecture / Interior design / ShopfittingOther Points of sale 12 to 55 to 10More than 10 Type of business* Trading CompanyWholesalerSuperMarket / RetailerDesigner/ Interior Decorator/ ArchitectureFlower ShopSupplierOther Who are your main customers? Floral material shopsFlower shopsGeneral PublicWholesalerOther retailersDesignersOthers BackNext Preserved products Have you ever had experience with preserved products? YesNo *If your answer is "No" you can go to the next step Where did you source the product (company/country)? Have you ever used verdissimo products? YesNo BackNext How can we help you? Product interest* Stem RoseRose headsTreesFlowersGreensGreen Walls/ MossOthers Information request General information on preservedPricing informationSample request Additional information I have read and accept the Privacy Policy