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Griffin Customer Information Form
If you wish to establish an account with us please complete and submit the below information.
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* Required
Business Name
*
Your answer
Business Entity
*
Individual
Partnership
Corporation
Taxpayer ID
*
If you are doing business as an individual, please do not include your SSN number. Please type "Individual".
Your answer
Contacts
Please include the person's name, title, phone number and email address.
Owner
*
Your answer
Accounts Payable
*
Same as owner
Same as Purchasing contact
Other:
Purchasing
*
Same as owner
Same as Accounts Payable contact
Other:
Business Telephone
*
Your answer
After Hours Phone
*
Your answer
Fax Number
Your answer
E-mail Address
*
Your answer
Website Address
Your answer
Regular Business Hours
*
Your answer
Is a purchase order required?
*
Yes
No
Years in Business
*
Your answer
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