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| coffee cup sleeves |
PRINT THIS WHOLESALE APPLICATION FORM
and Fax to 1-206-274-4865 or email to info@cupcouture.com |
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Name of Business: _____________________________________________________________________ |
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Preferred Payment: VISA____________ MASTER CARD ____________CHECK _________ |
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ACCOUNTS PAYABLE INFORMATION |
IF PAYING BY CREDIT CARD: |
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Contact: ______________________________________ |
Card Number:____________________________________ |
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Phone/Ext: ____________________________________ |
Name on Card:____________________________________ |
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eMail: _________________________________________ |
Expiration Date:__________________________________ |
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Resellers/Tax Certificate Number: _________________________ |
CVN Number:____________________________________ |
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SHIP TO |
BILL TO |
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Name:______________________________________ |
Name:______________________________________ |
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Company:______________________________________ |
Company:______________________________________ |
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City/State:______________________________________ |
City/State:_____________________________________ |
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Postal Code:______________________________________ |
Postal Code:____________________________________ |
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Fax:______________________________________ |
Fax:______________________________________ |
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eMail:______________________________________ |
eMail:______________________________________ |
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ADDITIONAL PACKAGING OPTIONS (yes or no):
Barcoding (we will call you) _____________
Hang Tab _________________ |
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IF PAYING BY CHECK: 2 TRADE REFERENCES ARE REQUIRED. Payment terms are 15 days from Receipt of invoice. |
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Trade References: |
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Company Name:______________________________________ |
Company Name:_________________________________ |
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Contact Name:______________________________________ |
Contact Name:___________________________________ |
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Phone Number:______________________________________ |
Phone Number:___________________________________ |
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Account Number:______________________________________ |
Account Number:_________________________________ |
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Place a Wholesale Order |
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coffee cup sleeves |
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