Customer Information Form
Thank you for your interest in San Benito Shutter! We look forward to doing business with you! Please note that applications will be processed immediately with Cash Before Delivery Terms. Credit Terms will be processed within 5 business days.
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Personal Information
First Name Last Name
*
Primary Email
*
example@example.com
Phone Number
*
Business Information
Business Name
*
Commercial or Residential?
Commercial
Residential
Company Website or Social Media URL
Resale Certificate Number
Tax ID Number
*
Projected Annual Revenue:
Business Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Shipping Address (if different from above)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
I would like to apply for credit terms :
Yes
No
How did you hear about us?
Social Media
Another Contractor
Friend or Family Member
Search Engine
Other
Submit
Should be Empty: