DFS Customer Profile Form

DSR Name
DSR Name
CUSTOMER CONTACT INFORMATION
General Account Information
Business Name
Sole ProprietorLLCPartnershipCorporation
Federal EIN #
Address
City, County, State, Zip
Phone
Format: (000) 000-0000.
Fax
Email
example@example.com
Contact
Title
Owner/Officer Name
Home Address
City, County, State, Zip
Phone
Format: (000) 000-0000.
Business
Cell
Business Open Days(Required)
MTUWTHF
MTuWThF
Comments
Open for Delivery AM: (Minimum 4hr. window)*
Open for Delivery PM: (Minimum 4hr. window)
AMPM
Loading DockSteps (qty) up/downSecurity SystemPasscodeKeypad LockKeysAccess DoorCombinationLockFront Door DeliveryRear Door DeliverySide Door Delivery
Steps (qty) up/down
Passcode
Keypad Lock
Access Door
Combination
Delivery Instructions
Checking in Order :
Where to Place Customer's Product:
YesNo
Should be Empty:

CUSTOMER CONTACT INFORMATION