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New Account Information Please print out this form, fill it out, then fax it to us. Your information will not line up correctly if you try to fill it in by typing it while online. Business Name __________________________________________________ Store Name (if different)___________________________________________ Contact:_________________________________ Title __________________ Email Address: (required for wholesale price list - Please print very clearly! ________________________________________________
Telephone ____________________________ Fax ___________________________________ OR Fed ID# _____________________________ State Sales Tax #: ____________________________________ Name of Owner ____________________________________________________ Accounts Payable Contact if other than owner: Name ________________________________ Tel ______________________________ Proprietorship? Yes No Partnership? Yes No Corporation? Yes No How Long in Business? ________________ How long at this address? _____________ Store Information: Type of Store: ___ Quilt Store ___ Fabric Store ___ General Mercantile ___Other Machine Dealership? ____________________________________ Special Interest Areas ___ Workshops ___ Heirloom ___ Clothing Fabric ___ Wearable Art
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