New Wholesale Customer Form - Big O'Smokehouse

New Wholesale Customer

Please complete the following form to become a Big O’ Smokehouse Wholesale Customer.

Company Name(Required)

Phone(Required)

Website

Buyer's Name(Required)

First Last

Buyer's Email(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Receiving Hours

Please provide your standard receiving hours for Big O’ deliveries.

Are your receiving hours the same Wednesday, Thursday, and Friday?

Yes, our receiving hours are the same for all three days.

No, our receiving hours vary by day.

Open Receiving Hours

Close Receiving Hours

Wednesday Open Receiving

Wednesday Close Receiving

Thursday Open Receiving

Thursday Close Receiving

Friday Open Receiving

Friday Close Receiving

Receiving Instructions

Accounts Payable Contact

Accounts Payable Name

First Last

Accounts Payable Phone

Accounts Payable Email

Can invoices be emailed to the Accounts Payable Contact's email address?(Required)

Email for Invoices

Payment Options(Required)

Consent

Yes, I Authorize

I (we) herby authorize Big O' Smokehouse Inc. to initiate charges to my (our) credit card account. Big O' Smokehouse will charge the amount due within 7 days of invoice date and retain card information on file.

New Customer Authorization

Name

First Last

Title

Date

By submitting this new customer form,(Required)

I confirm that the information I've provided is accurate and complete. I acknowledge that this information will be collected, stored and processed for the purpose of establishing and maintaining a customer relationship with Big O' Smokehouse.

Phone

This field is for validation purposes and should be left unchanged.