Dr. Marty Pets - New Customer Setup Form

Dr. Marty Pets - New Customer Setup Form
Company Name

General Contact Name

General Phone NumberGeneral Email
Accounts Payable Information

AP Contact Name

AP Phone NumberAP Email
Payment Method
Billing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Shipping Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please also include a copy of your reseller certificate so it can be uploaded to your account and reviewed by our accounting department.

Dr. Marty Pets Retail Support
Phone number: 855-457-0501
Email: retail@drmartypets.com (Please use this address when sending any new Purchase Orders)
Should be Empty: