new-customer-application | Big Oak Smoke Supply

Salesperson

Contact Name *

Company Name *

Type of Business *

Corporation

Partnership

Individual

Street *

Street2

City *

State *

Zip

Is Billing Address and Shipping Address the Same? *

Yes

No

Please Attach a List of All Shipping Addresses *

Email *

How did you learn about us?

Salesperson

Another Customer

Web Search

Other

Please Specify:

Please specify: *

Salesperson *

W-9 *

PDF preferred.

Resale Certificate

Without an active resale certificate on file, your purchases may be charged sales tax.

OTP/Vapor Products License

Phone Number *

Select Your Payment Preference *

Prepaid (Check, ACH, or Credit)

Terms

EFT (7 or 14 Days)

Terms is dependent on credit check and references. References must include name, address, contact information, and any relevant account number.
EFT payments require separate EFT application, which will be sent for completion within 3 business days of submitting this form.

Credit Reference 1 *

Credit Reference 2 *

Bank Reference *

New Customer Application