|
Government Account Application - Set
text to medium before printing: Menu: View/Text Size/Medium _______________________________________________ ,
__________________________________ , ___________________________ E-mail: ______________________________________ Retail Tax Number (Vendors License): N/A ___________________________ Phone: ( _________ ) ________________________ Fax: ( ________ ) _______________________ Year Established___________ Federal Non Profit Tax ID # _______________________________________ Website __________________________________________ Government Type US ______State _______
County___________ City ________________Other_______________ Name _____________________________________ Title ______________ Phone ( _________ ) ___________________ Address _____________________________________ City __________________________ State ______ Zip _______________ Name ________________________________________ Title ____________ Phone ( _________ ) _____________________ Address ________________________________________ City ___________________________ State ______ Zip ______________ Bank Name _________________________________ Acct No. ________________________________ Phone ( ________ ) ___________________
________________________________________________________________________________________________ Phone: ( __________ )___________________________ Fax: ( _________ )__________________________
_________________________________________________________________________________________________________ Phone: ( __________ )___________________________ Fax: ( _________ )_________________________ GOVERNMENT GUARANTEE: This entity agrees to to Bulkfoods.com/terms.htm/terms.asp terms and conditions and to pay for goods purchased..
_________________________________________________________________________________________________________________________________ Invoices paid in ____30 days ____ 10
Days ____ Days. Number of locations? US ______Overseas ______ ______________________________________________________________________________________ Comments __________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________
______________________________________________________________________________ |