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.Format: (000) 000-0000.
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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.Format: (000) 000-0000.
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.Format: (000) 000-0000.
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.Format: (000) 000-0000.
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.
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