New Customer Application For Business Account Form

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NEW CUSTOMER
APPLICATION
Jinny Beauty Supply
ATLANTA • BALTIMORE • CHICAGO • DALLAS • DETROIT • HOUSTON
For Business Account
LOS ANGELES • MEMPHIS • MIAMI • NEW YORK • OAKLAND • ST. LOUIS
Sales Rep
(OFFICE USE ONLY)
Date
Store Name _______________________________________________________________________
Owner’s Name ________________________________________________________________________________________________________________
Store Address _________________________________________________________________________________________________________________
City _________________________________________________________________State ___________________ Zip Code ________________________
Store Phone # __________________________________ Cell # __________________________________ Fax # __________________________________
Business or Owner’s Email Address ________________________________________________________________________________________________
Accounts Payable Contact ______________________________________ Phone # __________________________ Fax # __________________________
Company Information
How Long in Business
D & B Rated
D & B Number
Sole Proprietor
Partnership
Corporation: Date of Incorporation
Subsidiary
Division
Branch
Name of Parent Company
Federal ID #
If Sole Proprietor or Partnership, Social Security #
Resale Certificate #
What types of products will you be purchasing?
Do you use purchase orders?
HAIR CARE
SKIN CARE
NAIL CARE
Electric & Stove Styling Tools
Skin & Body Care
Manicure & Pedicure
Yes
No
Artificial Nails
Combs & Brushes
Wax & Pain Relief
List persons authorized to charge:
Remover/Dryer & Treatment
Hair Clips, Pins & Rollers
Make-Up
(Attach list with additional names on company letterhead)
Implements & Cotton
Hair Ornaments & Accessories
Eyelashes
1)
Hair Nets & Salon Apparel
Skin Care Tools
GENERAL MERCHANDISE
Hair Color & Accessories
Applicators & Sponges
Fashion Accessories
2)
Shears & Shapers
Towels & Spa Accessories
Incense & Air Fresheners
Hair Bonding & Weaving
Perfume & Body Spray
Home Supplies
Hair/Wig Care & Mannequins
Shavers & Shave Cream
3)
Magazine & Styling Videos
Men’s Products
ATLANTA DISTRIBUTION CENTER
BALTIMORE DISTRIBUTION CENTER
CHICAGO DISTRIBUTION CENTER
DALLAS DISTRIBUTION CENTER
DETROIT DISTRIBUTION CENTER
HOUSTON DISTRIBUTION CENTER
3587 Oakcliff Rd.
8700 Larkin Rd, Ste. E
7555 N. Caldwell Ave.
2527 Willowbrook Rd, Ste. 400
22701 Trolley Industrial Drive
3920 Dunvale Rd.
Doraville, GA 30340
Savage, MD 20763
Niles, IL 60714
Dallas, TX 75220
Taylor, MI 48180
Houston, TX 77063
T. 770-734-9222 F. 770-734-0556
T. 240-294-1861 F. 301-498-5120
T. 847-600-3030 F. 847-600-3035
T. 214-261-3025 F. 214-261-3026
T. 313-253-5410 F. 313-292-5810
T. 713-343-5636 F. 713-343-5637
LOS ANGELES DISTRIBUTION CENTER
MEMPHIS DISTRIBUTION CENTER
MIAMI DISTRIBUTION CENTER
JINNY BEAUTY INT’L EXPORT
OAKLAND DISTRIBUTION CENTER
ST. LOUIS DISTRIBUTION CENTER
4545 Pacific Blvd.
1645 Thomas St, Ste. B
16241 N.W. 48th Ave.
1181 Broadway, 2nd Floor
1501 Doolittle Dr. Ste. D
8921 Frost Avenue
Vernon, CA 90058
Memphis, TN 38107
Hialeah, FL 33014
New York, NY 10001
San Leandro, CA 94577
Berkeley, MO 63134
T. 323-973-7007 F. 323-973-7008
T. 901-379-5200 F. 901-578-1246
T. 786-248-3200 F. 786-248-3218
T. 646-884-9480 F. 212-725-1584
T. 510-924-3760 F. 510-924-3765
T. 314-227-1750 F. 314.521.2842

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