Griffin Customer Information Form
If you wish to establish an account with us please complete and submit the below information.
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Business Name *
Business Entity *
Taxpayer ID *
If you are doing business as an individual, please do not include your SSN number.  Please type "Individual".
Please include the person's name, title, phone number and email address.
Owner *
Accounts Payable *
Purchasing *
Business Telephone *
After Hours Phone *
Fax Number
E-mail Address *
Website Address
Regular Business Hours *
Is a purchase order required? *
Years in Business *
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