Order at 303.733.1655 47
Customer Information
In order to establish a business relationship with Denver Pottery, please supply the following information:
Business Name Phone #
Physical Address Fax #
City State Zip Code
Email
Billing Address
City State Zip Code
Sales Tax Number (No account can be opened without a sales tax number)
Business References:
Name Phone #
Address Fax #
City State Zip Code
Name Phone #
Address Fax #
City State Zip Code
Name Phone #
Address Fax #
City State Zip Code
Is your business: a corporation? a partnership? 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 Zip Code
Name 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
