Customer Setup/Maintenance (THIS IS NOT A CREDIT APPLICATION)
iDate iSales Person iBusiness Name (Input name as it appears on checks)
iDba iBilling Address iCity
iState
iZip
iShipping Address (If different from billing address)
iCity
iState
iZip
iPrimary Contact
Secondary Contact
iPhone No.
Phone No.
Cell No.
Cell No.
Fax No.
Fax No.
iTaxable: YES NO Tax Exempt No. Tax Jurisdiction iIf you are Tax Exempt, you must provide a copy of your Tax Exempt Certificate. iPurchase order required: YES
NO
iCustomer type (mark the category that best suits your business)
RESTAURANT HOTEL GROCERY
BAR SCHOOL CASINO
HOSPITAL CHURCH CONTRACTOR
BAKERY STATE/GOVERNMENT OTHER
iSTARRED ITEMS ARE REQUIRED INFORMATION – failure to provide this information could result in order processing delays. FOR INTERNAL USE ONLY
Account # Entered by:
Warehouse # Date: 2136 Reading Road y Cincinnati, OH 45202 Phone: (513) 421-4700 y Fax: (513) 639-4090