New Client Registration - Net Terms
Welcome to The Ville Branding! We are thrilled to have you as a customer. Please fill out all fields so we may get your orders started.
Company Info
Point of Contact
Jason Franke
Joey Satterfield
Company Name
*
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
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California
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Connecticut
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District of Columbia
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Georgia
Hawaii
Idaho
Illinois
Indiana
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Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
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Mississippi
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Montana
Nebraska
Nevada
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New York
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Ohio
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Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone Number
*
-
Area Code
Phone Number
Tax Information
Tax ID #
*
Tax Exempt?
*
Yes
No
If Tax Exempt, please upload your State Tax Exemption Certificate.
Attach Files
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Shipping Info
Shipping Address Same As Billing?
*
Yes
No
Shipping Full Name
First Name
Last Name
Shipping Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Shipping Phone
-
Area Code
Phone Number
Shipper Account
Use The Ville Branding's Shipping Account
Use My Company's Shipping Account
Shipping Provider
FedEx
UPS
USPS
Other
Shipping Account #
Contact Info
Purchaser Full Name
*
First Name
Last Name
Purchaser Phone Number
*
-
Area Code
Phone Number
Purchaser Email
*
example@example.com
Accounts Payable Contact Same As Purchaser?
*
Yes
No
Accounts Payable Full Name
First Name
Last Name
Accounts Payable Phone
-
Area Code
Phone Number
Accounts Payable Email
example@example.com
Upload Trade References
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