*Required |
|
Customer Type: * |
Customer Type: Required
Customer#
|
Past Customer Account #:
|
|
LEGAL BUSINESS NAME: * |
Business Name: Required
|
DBA: |
|
|
|
BILL TO ADDRESS: |
ADDRESS:*
Address: Required
ADDRESS2:
|
|
SHIP TO ADDRESS:
the same as billing address above |
ADDRESS:*
Shipto Address: Required
ADDRESS2:
|
|
|
Business Information |
APPLYING CREDIT LIMIT: |
Credit Limit: Numeric Value
Credit Limt: maximum 1,000,,000
|
UPS ACCOUNT #: |
|
UPS ZIPCODE |
|
REFER FROM BRIGHTON-BEST INT’L:*
Refer from Brighton-Best: Required
|
HAVE YOU BEEN IN CONTACT WITH ANY TA CHEN SALESPERSON:*
TA CHEN Salesperson: Required
|
IF YES, SALESPERSON NAME: |
|
BUSINESS TYPE:* |
Business Type: Required
|
IF CORPORATION, WHICH YEAR INCORPORATED
|
|
IF CORPORATION, WHICH STATE INCORPORATED
|
|
SIC CODE: |
|
RELATED COMPANIES: |
|
RELATIONSHIP: |
|
YEAR ESTABLISHED:* |
Year Established: Numeric Value
Year Established: Required
|
UNDER PRESENT OWNERSHIP SINCE: |
Ownership: Numeric Value
|
HOW MANY EMPLOYEES:*
|
Number of Employees: Numeric Value
Number of Employee: Required
|
ESTIMATED ANNUAL SALES: |
Annual Sales: Numeric Value
Annual Sales: maximum 10,000,,000,000
|
TYPE OF PRODUCTS ON CARRYING:Maximum 1000 characters
|
|
TYPE OF MATERIAL PURCHASED:Maximum 1000 characters
|
|
HOW DID YOU FIND OUT ABOUT TA CHEN INT'L:
Maximum 1000 characters
|
|
FEDERAL TAX ID:* |
Federal Tax ID : Required
|
RESALES ID:*
|
Resales ID : Required
|
|
DUN & BRADSTREET NO: |
|
|
OWNER/ OFFICER |
FULL NAME:* |
Owner Name: Required
|
TEL:* |
Owner Phone: Required
|
FAX: * |
Owner Fax: Required
|
E-MAIL:* |
Owner Email: Required
|
|
PAPERLESS BILLING
PRIMARY CONTACT: |
|
BACK-UP CONTACT: |
|
|
|
|
|
|
|
YOUR INFOMATION |
the same as owner/officer above |
Your name:
* |
Your name: Required
|
Your E-Mail address: * |
Your Email Address: Not a vaild email address
You Email: Required
|
|
|