New Account Form

NEW ACCOUNT APPLICATION

Beechwood Sales and Service
Thank you for your interest in working with us. Please complete the following form in full.

If you have any questions, please reach out to us at customerservice@beechwoodsales.com.
Are you a Beechwood Sales Rep filling out this application on behalf of an account?*

Yes, I'm a Sales RepNo, I'm a Retailer
Account Email*
A copy of the New Account Form will be sent to this email
New accounts will be built within 3 business days of form submission. If you need an order sooner, we will try to accomodate the request. Please mark the request as urgent and let us know why.

Any new account set ups that require next day delivery need to be submitted no later than 12:00pm to give the analyst team and operations department adequate time to build the account profile.
Is this an urgent request?*

YesNo
Why is this request urgent?
Is this replacing an existing account*

YesNO
What is the old Account Number?
e.g. A1234
Should the inventory be copied to the new account?

YesNo
When does the account need their first delivery?*

MonthDayYear
Date

Billing Information
Is the billing contact different from the primary contact information?*

YesNo
Billing Contact Name*

First NameLast Name
Billing Contact Phone Number*
Billing Contact Email*
example@example.com
Do you have a different address for billing?*

YesNo
Billing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Retailer Portal Setup
Retailer Portal Setup

Yes! Set me up for the Retailer Portal! Where I can Place Orders, View and Pay Invoices.
You will automatically be enrolled in Retailer Portal, our online customer service portal. By clicking the submit button, you acknowledge that you are authorized from the Licensee to make electronic orders and payments for this account. You will receive an email at {email} with instructions to access Retailer Portal.
If you would like to add an additional user to the Retailer Portal, please click the link below:

Retailer Portal
Terms & Conditions*
How did you hear about our company?
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NEW ACCOUNT APPLICATION