new-customer-registration

Please fill out this form completely.

*Note**
You must include upload a copy of your resale certificate in order to submit this form. Thank you!

New Customer The Bandanna Company

New Customer Registration

"*" indicates required fields

Company Name*

Trade Name/DBA (if different than above)

How Did You Find The Bandanna Company?*

Corporate Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Billing Address (If different than above)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Company Telephone Number*

Tax ID/DUN's Number*

Sale Tax Exempt Number*

Is Company Publicly or Privately Held?*

Company Website

President/CEO*

Name

Accounts Payable Name*

Name

Accounts Payable Phone*

Accounts Payable Email*

Accounts Payable Fax #

Accounts Receivable Name*

Name

Accounts Receivable Number*

Accounts Receivable Email*

Accounts Receivable Fax #

Controller Receivable Name

Name

Controller Number

Controller Email

Controller Fax #

Buyer 1 Name*

Name

Buyer 1 Number*

Buyer 1 Email*

Buyer 1 Fax #

Buyer 2 Name*

Name

Buyer 2 Number*

Buyer 2 Email*

Buyer 2 Fax #

Prepaid Account Only*

Credit Card (3% Surcharge)

Certified Check

Wire Transfer ($25 Fee)

ACH (May take up to 2 days)

Please check your method of payment. Failure to comply will cause delays in any future shipments.

Resale Tax Cert./Tax Exemption*

Drop files here or

Accepted file types: jpg, pdf, Max. file size: 256 MB, Max. files: 3.

Please upload a copy of you Resale Certificate or Tax Exempt Certificate. *Note* You will not be able to send this form without uploading your document(s)

Name

This field is for validation purposes and should be left unchanged.

Please fill out this form completely.

*Note**
You must include upload a copy of your resale certificate in order to submit this form. Thank you!

New Customer The Bandanna Company

If you prefer to download our PDF version and fax it back to us:

CLICK HERE

ORDER YOURS TODAY!

Current account holders can request a printed catalog in the mail.

Please fill out this form completely.

***Note****You must include upload a copy of your resale certificate in order to submit this form. Thank you!

New Customer The Bandanna Company

If you prefer to download our PDF version and fax it back to us:

CLICK HERE

ORDER YOURS TODAY!

Current account holders can request a printed catalog in the mail.

*Note**
You must include upload a copy of your resale certificate in order to submit this form. Thank you!