NEW CUSTOMER

Date*

Sales Person*

Name of Salesperson*

Time*

Account Manager*

Name of Account Manager*

If you need a copy of this submission sent to an email, please type it here:

Only add one email to this field.

Customer Name*

Customer Needs To Be Created In:*

Fishbowl

3PL

QuickBooks

Other

Please Check All That Apply

Other:*

Contact Name*

Main Address (Accounting)*

Email Address for Contact*

Website

Contact Phone Number *

Main Address (Accounting)*

Main Phone Number*

Is this Customer Tax Exempt?*

Yes

No

Tax Exempt #*

Do we fulfill for this Customer?*

Yes

No

Other Marketplaces*

WooCommerce Additional Information:*

Please provide Consumer Key, Consumer Secret, and WordPress URL

Customer Contract*

Please Upload a copy of the customer's W-9 if available