SALES ONBOARDING-Reference Guide

NEWACCOUNT SET-UP INFORMATION

ATTN: CUSTOMER SERVICE FAX 1: (800) 482-8369 | FAX 2: (804) 752-3685

NAME OF ACCOUNT: (MUST MATCH NAME ON ABC LICENSE)

ADDRESS:

CITY:

STATE:

ZIP:

(MUST MATCH ADDRESS ON ABC LICENSE)

COUNTY (MD ONLY):

PHONE NUMBER(S): OFFICE:

CEL:

*FAX NUMBER:

*EMAIL: (FAX # AND/OR EMAIL ADDRESS REQ’D FOR ACCOUNTING PURPOSES)

STATUS: :

ON PREMISE

OFF PREMISE

CONTACT NAME(S):

ABC LICENSE #:

EXPIRATION DATE:

MARYLAND - PLEASE PROVIDE SALES AND USE TAX CERTIFICATE ID#.

DC - YOU MUST PROVIDE A COPY OF YOUR LICENSE WITH THIS FORM.

DELIVERY HOURS AND INSTRUCTIONS:

PAYMENT TERMS:

COD

EFT

DC

ABC

MBJ

PREPAID

NET 30

NET

10

SALESPERSON:

***************************************************************** FOR OFFICE USE ONLY *****************************************************************

LICENSE VERIFIED BY:

DATE:

ACCOUNT #: