New Customer Set-Up

New Customer Setup

Customer Name:

Sale Tax ID:

If non taxable please attach completed Certificate. Only PDF

Business Start Date:

Website:

Physical Address:

Accounts Payable Address:

Main Phone Number:

Main Contact Name:

Contact Email:

POs Required?:

Accounts Payable Phone Number:

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: