Commercial Account Application

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Full Legal Name of Business, Entity or Gov’t Department: *

E-Mail: *

Phone Number: *

Street Address: *

City, State, Zip: *

Point of Contact Name: *

First

Last

Point of Contact E-mail/Number (if different):

How long have you been in business? *

Type of Business *

Is your business tax exempt? *

Number of employees who will use the program: *

Type of industry/work: *

Maximum company contribution per purchase: *

Credit limit needed for program: *

Dollar amount of purchase limited to: *

Employee will present on store visit: *

Would you like us to create an online store for your employees to be able to choose and purchase their uniform/company apparel? *

Would you like to add any special instructions for us or your employees?

Employees will be required to have a picture ID at the time of order and pick up, and are required to sign the invoice.

Signature

Comments or Questions