Lets do business .............
DO YOU SELL THE FOLLOWING................................
COMPANY/BUSINESS LEGAL NAME: ................
ADDRESS: ............
DBA: ...............
TYPE OF BUSINESS: .................
INCORPORATED STATE: ...................
YEAR EST: ................
ANNUAL SALES ................
DUNS: ..................
TAX ID/FEIN: ..................
BANK ACCOUNT/ROUTING NO: ....................
ACCOUNT PAYABLES CONTACT: .......................
TRADE REFERENCES: ....................
BANK REFERENCES: ...................
TAX EXEMPT, if available
RESELLER CERTIFICATE, if available
FINALCIAL DETAILS, if available
AND OTHER RELATED INFORMATION ABOUT THE BUSINESS