NET / Customer Application (Full)

GLOBAL IMPORTING GROUP, INC
4201 NE 161st Ave, Portland, OR 97230
4051 Oaksdale Ave SW, Renton, WA 98057
15421 Vantage Pkwy E, Houston, TX 77032
globalimportinggroup.com
WA/OR: (503) 655-3000
TX: (281) 800-4220
Сustomer application
Sales Representative
Please select your Sales Representative which you spoke with
NET terms (days)*
Length of credit in days
Business Information
Business Type*
*Chain - from 3 stores, please select careful
Type of the store
Main Ethnic group*
Please select ethnicity of the target shopper audience of your store
What is the size of your store?*
Total square feet (approx.)
Business start date*

MonthDayYear
Date
Business Legal Name*
dba (doing business as)
Store name
Federal EIN#
From W-9 form
State Registration number

Contact Information
Business address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Name (Orders)*

First NameLast Name
E-mail (Orders)*
Phone Number (Orders)*
Ext. (Orders)
type in extension number (if exists)
Accounts Payable Contact

First NameLast Name
E-mail (Account Payable)
Phone Number (Account Payable)
Ext. (Account Payable)
type in extension number (if exists)
Comments
If you have any comments or additional info, please type here in

Trade References
Trade reference - #1
Company Name*
How many years?*
Business address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
Phone Number*
Trade reference - #2
Company Name*
How many years?*
Business address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
Phone Number*
Trade reference - #3
Company Name
How many years?
Business address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail
Phone Number

Licenses upload

Upload your business and alcohol licenses:
Business License

Cancelof
Alcohol License (if applicable)

Cancelof

Resale Certificate
Please upload your Resale Certificate here

Cancelof
Should be Empty: