New Customer2020-04-27T02:23:47-05:00

New Customer Set-Up

    Customer Name:
    Federal Tax ID EIN:
    (Please attach a completed W9)

    Sale Tax ID:
    (if non taxable please attach completed Certificate)

    Business Start Date:
    Website:
    Physical Address:
    Mailing Address:
    Main Phone Number:
    Main Contact Name:
    Contact Email:
    POs Required?:
    Accounts Payable Contact Name:
    Accounts Payable email for invoices:
    Credit Requested:
    Terms Requested:
    Company Officers Name and email:

    Bankruptcies, Lawsuits?:

    BANK Reference INFO

    Bank Name:
    Bank Address:
    Bank Officer:
    Bank Phone:
    Bank Email:

    Please provide 2 TRADE REFERENCES

    Company 1 Name:
    Phone Number:
    Contact Name:
    Contact Email:
    Company 2 Name:
    Phone Number:
    Contact Name:
    Contact Email: