Customer Information
In order to establish a business relationship with Denver Pottery, please supply the following information:
Business Name
Phone #
Physical Address
Fax #
City
Zip Code
State
Email
Billing Address
City
State
Sales Tax Number
Zip Code
(No account can be opened without a sales tax number)
Business References:
Name
Phone #
Address
Fax #
City
Zip Code
State
Name
Phone #
Address
Fax #
City
Zip Code
State
Name
Phone #
Address
Fax #
City
State
Zip Code
Is your business:
a partnership?
a corporation?
other?
When was this business started?
List the name(s) and address(es) of owners or officers of the business:
Name
Title/Position
Address
City
State
Name
Zip Code
Title/Position
Address
City
State
Zip Code
A business relationship cannot be extended to any company in business less than one year. Denver Pottery Company is
hereby authorized to contact the above references to obtain business information.
Signature
Date
Order at 303.733.1655
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