NEW CUSTOMER ACCOUNT PLEASE FILL OUT ALL THE REQUIRED FIELDS BELOW (*): COMPANY INFO: CUSTOMER NAME: * First Name Last Name BILLING ADDRESS: STREET NAME * Address 1 Address 2 City State/Province Zip/Postal Code Country SHIPPING ADDRESS: STREET NAME (If Different from Billing): Address 1 Address 2 City State/Province Zip/Postal Code Country HRS. OF OPERATION: RESALE NO. TYPE OF BUSINESS: CONTACT INFO: PRIMARY CONTACT NAME: First Name Last Name PRIMARY CONTACT PHONE #: Country (###) ### #### PRIMARY CONTACT EMAIL: SECONDARY CONTACT NAME: First Name Last Name SECONDARY CONTACT PHONE #: Country (###) ### #### SECONDARY CONTACT EMAIL: ACCOUNTS PAYABLE INFO: NAME OF CONTACT: First Name Last Name AP EMAIL (LIST ALL RELEVANT) * MARKETING EMAIL: (FOR SPECIAL PROMOS, PRICE INCREASES ETC) QUESTIONARE HOW DID YOU HEAR ABOUT US? * WHO IS YOUR CURRENT SUPPLIER? * WHY ARE YOU LOOKING TO CHANGE SUPPLIERS? * CUSTOMER SIGNATURE: DATE: * MM DD YYYY INTERNAL USE ONLY PRICING CATEGORY: ROUTE: SALES REP REP ID TERMS: ALLOW REPACK: MANAGERS SIGNATURE: DATE: MM DD YYYY Thank you! ****SUBMIT THIS ONBOARDING TEMPLATE ALONG WITH YOUR CURRENT AND VALID RESALE CERTIFICATE FORM FOR US TO REVIEW AND SET UP YOUR NEW ACCOUNT***
