Fillable New Customer Information Form printable pdf download

New Customer Information Form

Download a blank fillable New Customer Information Form in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete New Customer Information Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

Customer #__________________

New Customer Informa on Form

* Required Fields

* Date ________________ * Taken By _______________

*  Residen al Business

 Commercial Business (storefront)

* Company Name ____________________________________________________

* Billing Address

* City __________________________________ * State _______* Zip ________ * County _____________(not Country)

* Shipping Address

* City __________________________________ * State ________ * Zip __________ * County _____________________

* Telephone ________________________________ Alternate Phone ______________________________________

Fax ________________________________ *Email _________________________________________________

(Honey Acres does NOT sell your e‐mail address or send spam)

* Sales Tax Exempt Number for your state: _____________________________

(If located in WI we MUST have a signed Exempt Form on ﬁle)

Business Type _________________________________ Hours of Opera on ______________________

Owner(s) ______________________________________________

* Contact Person(s) ______________________________________

* Referred By

___________________________________________

(sales rep, business, website, Social Media…)

For oﬃce use:

PDF of Wholesale Direct Pricing Sent?  Yes  No When?

Comments : __________________________________________________________________________________________

____________________________________________________________________________________________________

 E‐mail Electronic PDF of Order Form

 Give to Lisa to set up in Quick Books  Make Copy for Rep

Phone: 1.920.474.7587 Fax: 1.920.474.4018

New Customer Information Form

Related Articles

Related forms

Related Categories