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Customer Account Application

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Reason to Decline
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1. General Information

Customer Account Application For*
First and Last Name of Person Completing Application*
Title of Applicant*
Applicant Phone Number*
Applicant Email Address*
Type of Business*
If Other, Please Describe
Name of Guest Supply Sales Representative (if applicable)

2. Customer Information

Is this Property a New Construction?*
Is this Property a Conversion?*
Converting From*
Converting To*
Are You an Existing Customer?*
Enter Six Digit Customer Number if known
New Owners?*
Enter New Owners Effective Date
Other Existing Owned Accounts with Guest Supply?
Account Number(s)
Name of Properties
Number of Rooms at Property*
Inn Code
Business or DBA Name of Property*
Address *
Street 1*
Street 2
City*
State/Province/Region*
Zip/Postal Code*
Country*
County*
Phone Number*
Fax Number
Email Address*
Is Bill-To Address the same as Property Address?*
Bill-To Street 1*
Bill-To Street 2
Bill-To City*
Bill-To State/Province/Region*
Bill-To Zip/Postal Code*
Bill-To Country*
Bill-To Phone Number*
Monthly Expected Spend with Guest Supply*
Monthly Spend in Which Currency?*
Document Delivery Method*
Email Address to Receive Invoices*
When your account is established you will receive a welcome letter providing instructions and a link to register for on-line access.
Accounts Payable Contact Name*
AP Phone Number*
AP Email Address (Billing Contact)*
Payment Terms*
Are Purchase Orders Always Required?*
Are You Tax Exempt and Should Taxes be Excluded from Your Invoices?*
Note: If Yes, .pdf tax exempt form must be attached below.
Type of Tax Exemption*
Upload a sales tax exemption form.
Is Property Managed by a Management/Hospitality Group?*
Management Group Name*
Street 1*
Street 2
City*
State/Province/Region*
Zip/Postal Code*
Country*
Name of Primary Contact*
Contact Title*
Contact Phone Number*
Contact Email Address*
Does Your Management Company Own Your Property?*

3. Ownership Information

Ownership Entity Type*
Name of Entity*
Street 1*
Street 2
City*
State/Province/Region*
Zip/Postal Code*
Country*
Phone Number*
Mobile Phone Number*
Email Address*
Federal Tax ID #*
DUNS #
Year Entity Was Established
#1 Managing Member, Partner, or Proprietor Contact Name*
#2 Managing Member, Partner, or Proprietor Contact Name
#1. Street*
#2. Street
#1. City*
#2. City
#1. State/Province/Region*
#2. State/Province/Region
#1. Zip/Postal Code*
#2. Zip/Postal Code
#1. Country*
#2. Country
#1. Phone Number*
#2. Phone Number
#1. Mobile Phone Number*
#2. Mobile Phone Number
#1. Email Address*
#2. Email Address

4. Banking Information

Bank Name
Bank Phone
Bank Contact Name
Email Address
Customer Bank Account #
Check or Saving Account

5. Trade Reference Information

Trade Company Name
Email Address
Trade Contact Name
Trade Phone Number

6. Closing Requirements

I agree to the Terms and Conditions*