Customer Application Form
Receipt of this application does not constitute an agreement with Southeast Pet or guarantee sales.
Below is the Criteria to Set-up an Account with Southeast Pet
● Southeast Pet services dedicated pet specialty retail stores.
A pet specialty retail store is a brick and mortar retail store (with a retail store front) with posted hours that carries a wide assortment of pet products.
● The store must be located in an area zoned for commercial retail business (cannot be a residential area). Delivery minimum is $700.
● Your business must be within our service area of Georgia, Florida, North Carolina, South Carolina, Tennessee, and Alabama or in Central/South American or the Caribbean
Accounts outside the continental US require brand approval.
● A Secretary of State Business Registration, a signed and dated W-9, and a copy of your Resale Tax Certificate are required to open an account.
Business Information
Have You Ever Had An Account With Us?
*
If so, please list the prior account Name and Account Number.
Business Name:
*
DBA Name(s):
*
Delivery Address
Loading Dock?
*
Yes
No
Shopping Center:
*
Store Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Store Contacts
Store Contact:
*
Store Contact Phone:
*
Store Email:
*
example@example.com
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Certificates & License Information
Upload a Copy of Secretary of State Business Registration
*
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Download the below Uniform Sales & Use Tax Resale Certificate, Fill out and Save then upload your copy in the Upload your Resale Certificate section. To download click the Down Arrow with a line under it in the dark grey bar below
*
Upload a Copy of Tax Resale Certificate
*
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Federal Tax ID Number
*
Upload a Copy of Signed and Dated W-9
*
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Business Details
Describe your Business (Check all that Apply)
*
Bird
Cat
Dog
Small Animal
Daycare
Full Line
Grocery
Groomer
Feed Store
Health Store
Kennel/Boarding
Veterinarian
Please upload images of your retail location. This includes images of your store, retail shelving, products on display, posted retail hours, and store signage.
*
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Store Website/URL
*
www.website.com
Communication Preferences
Tell us where you would like the below documents sent
Order Acknowledgement Email
*
example@example.com
Invoice Email
*
example@example.com
Account Statement Email
*
example@example.com
Owner Information
Owner Name
*
Owner Phone Number
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Owner Email
*
example@example.com
Submit
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