Danica New Customer Setup Form

New Customer Setup Form

Key Accounts
General Business Information

Tell us about your business
Customer Type
Company Name *
Business Name
Company Name (Line 2)
Use this field if your company name didn't fit in the first field.
Store Type *
Choose what best describes your business
Thank you for your interest in our products. We are a Wholesale Company. For consumer inquiries about where to purchase our products, please contact us HERE
Business Type *
Do you have a Physical Store? *
Do you have an Online Store? *
Store Phone Number
Please enter a valid phone number.
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Billing and Shipping Address Information
Billing Address Information
Billing Country *
Category (mapping)
Sales Manager (mapping)
Federal Tax ID*
Please provide a valid Tax ID Number
Does your store bill through Ace Hardware or True Value? **
Please provide Ace Hardware or True Value Corporate store number **
Please provide a valid store number
Address Type *
Billing Address*

Unit Number

State / Province
City*
Province*
Postal Code*
State*
Calculated State *
States of USA and Canada
Zip Code*
BC PST Exemption Number
Please provide a valid PST Exemption Number
State/Province*
Billing Zip/Postal Code
Please submit your Resale Certificate

Please upload a copy of your resale tax certificate/license into the box below. (If you would prefer to email it, please send it to info@danicabrands.com). *Acceptable file formats: pdf, doc, docx, xls, xlsx, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif.
Cancelof
Shipping Address Information
Same as Billing Address?*
Shipping Country*
Address Type *
Shipping Address *

Unit Number

State / Province
City*
Province *
Postal Code*
State *
Zip Code*
PST Exemption Number *
Please provide a valid PST Exemption Number
State/Province*
Would you like to add another Shipping Address? *
Additional Shipping Address
Shipping Country*
Address Type *
Shipping Address *

Unit Number

State / Province
City*
Province*
Postal Code*
State*
Zip Code*
PST Exemption Number*
Please provide a valid PST Exemption Number
State/Province*
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Store Contact Information
Main Contact Information
Full Name*
Role*
Other Role*
Email *
Phone Number
Please enter a valid phone number.
If you'd like us to send Invoices to this contact, please specify:*
Accounts Payable Information
Same as Main Contact? *
Full Name*
Email *
Phone Number *
Please enter a valid phone number.
If you'd like us to send Invoices to this contact, please specify:*
Do you want to add another contact? *
Additional Contact
Full Name*
Role*
Other Role*
Email *
Phone Number*
Please enter a valid phone number.
If you'd like us to send Invoices to this contact, please specify:*
Shipping Notifications

Please provide an email address where we should send notifications when your orders are shipped.
Shipping Notification Email*
Do you need to add another email address for shipping notifications?*
Additional Shipping Notification Email*
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Social Media and Marketing Information
How did you hear about us? *
Please Specify Gift Show*
Customer Origin
Please Specify Trade Publication *
Trade Publication
Other Trade Publication *
Facebook
(Optional)
Instagram
(Optional)
Additional Comments
Please add special delivery instructions, business hours, or other relevant notes for your business here.
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Sales and Advertising Policy
Please acknowledge that you have read and agree to the Danica Imports Sales and Advertising Policy. To read the full Terms and Conditions please click here.
Please select:*

I have read and agree to abide by the Danica Sales and Advertising PolicyI certify that the information provided in this form is accurate
Please confirm that you're not a robot*
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New Customer Setup Form