New Customer Set-Up

    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: