Sold To Address:

Company Name*

DBA*

EIN / Tax ID #*

Telephone #1*

Telephone #2*

Fax #*

Website Address*

Customer Clasification*
 US International

If International, WST, VAT#

Dunn's Number*

Tax Exemption # (*Note: Must provide tax exemption certificate to finance to be exempt from tax)

Shiping Address*

Billing Address*

Finance Contacts:

Accounts Payable Contact #1*

Accounts Receivable Contact #1*

Accounting Manager/Controller*

Incoterms / Payment Terms

Incoterms (Shipping)

Standard Payment Terms
 iiF Client Net 30 Net 0