Account Application Form

Account Application Form

Cappadocia Rugs LLC
General Information
Company Name:*
Corporate Name (if different from above):
Billing Address:*

Street Address

Street Address 2

CityState

Zip
Shipping Address (if different from above):

Street Address

Street Address 2

CityState

Zip
Contact Name:*
Contact Title:*
Phone Number:*
Please enter a valid phone number.
Fax Number:
Please enter a valid phone number.
Email:*
example@example.com
Website:
A/P Contact Person (if exists):
A/P Title:
A/P Phone Number:
Please enter a valid phone number.
A/P Email:
example@example.com
Business & Trade References
1st Company Name:
1st Company Address:

Street Address

Street Address Line 2

CityState

Zip
1st Company Email:
example@example.com
1st Company Phone Number:
Please enter a valid phone number.
1st Company Fax Number:
Please enter a valid phone number.
1st Company Type of Account:
2nd Company Name:
2nd Company Address:

Street Address

Street Address Line 2

CityState

Zip
2nd Company Email:
example@example.com
2nd Company Phone Number:
Please enter a valid phone number.
2nd Company Fax Number:
Please enter a valid phone number.
2nd Company Type of Account:
3rd Company Name:
3rd Company Address:

Street Address

Street Address Line 2

CityState

Zip
3rd Company Email:
example@example.com
3rd Company Phone Number:
Please enter a valid phone number.
3rd Company Fax Number:
Please enter a valid phone number.
3rd Company Type of Account:
Please Upload Your Tax Resale Certificate Here:*

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Agreement
All invoices are prepaid unless special terms are noted within the invoice.

Claims arising from invoices must be made within 7 working days of invoice date.

By submitting this application, you authorize Cappadocia LLC to make inquiries into the any business/trade references listed above.
Your Name:*
Title:*
Signature*

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Date:*

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Signed Date
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Account Application Form

General Information

Business & Trade References

Agreement