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Customer Setup
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2022-03-01T15:18:19-06:00
Customer Name:
*
Sale Tax ID:
If non taxable please attach completed Certificate. PDF only.
Choose File
Business Start Date:
Website:
Physical Address:
Accounts Payable Address:
Main Phone Number:
Main Contact Name:
Contact Email:
POs Required?:
Yes
No
Accounts Payable Phone Number:
Accounts Payable Contact Name:
Accounts Payable email for invoices:
Credit Requested:
Terms Requested:
Bankruptcies, Lawsuits?:
Yes
No
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:
Submit
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