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Augustinus Bader Customer Setup Form
This form will be forwarded directly to the brand. Please complete with that in mind and be as detailed as possible.
PLEASE INCLUDE:
Your resale certificate
Fill out the credit card authorization form
Please enable JavaScript in your browser to complete this form.
customer & billing information
Trade Name
*
Legal Entity
*
Company Number
*
Email
*
Telephone
*
Website
*
Territory
*
Territory
USA/CAD
South America
UK
EMEA
APAC
Travel Retail
Shipping Terms
*
Shipping Terms
EXW
FOB
DAT
DDP
Other (please specify)
Other Shipping Terms
Account Category
*
Account Category
Department Store
Hotel
Wholesale
Dermatologist
Online
Perfumery
Distributor
SPA
Number of doors
*
Number of doors
Single Door
Multiple (Please specify in details below)
OTHER DETAILS
billing information
Trade Name
*
Legal Entity
*
billing address
Name
*
Address Line 1
*
Address Line 2
City
*
Zipcode
*
State
*
Territory
*
USA
Canada
Trade Margin (ex VAT)
Billing Currency
*
Billing Currency
USD
EUR
GBP
Payment Terms
*
Payment Terms
Net 30 Days
Net 40 Days
Net 45 Days
Net 60 Days
Net 90 Days
Prepaid
Consignment
Other (please specify)
Other Payment Terms
contact information & addresses
Contact Number
*
SHIPPING INSTRUCTIONS
shipping address
Name
*
Address Line 1
*
Address Line 2
City
*
Zipcode
*
State
*
Territory
*
USA
Canada
logistics contact
Name
*
Contact Number
*
Email
*
accounts payable contact
Name
*
Contact Number
*
Email
*
buyer contact
Name
*
Contact Number
*
Email
*
COPY OF RESALE CERTIFICATE
*
Click or drag a file to this area to upload.
I have filled out the credit authorization form
Submit
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