new customer form for intake.
Company Name
Federal Tax ID
Legal Business Name
In Business Since
If Division/Subsidiary, Name of Parent Company
Type of Business (Dealership, Auto Auction, etc.)
Billing Street Address
City
State
Zip
Name of Company Principal
Title
Accounts Payable Contact Name
AP Phone
Accounts Payable Email
Payment Type
Billing
Credit Card
Name of Person Placing Order
Email for updates
Phone Number for Updates
Billing Requirements (i.e. VIN)
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12 Rifles Account Manager Name
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12 Rifles Account Manager Email
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12 Rifles Account Manager Phone Number
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