Account Setup Form

Permit #:

Account Name:

Licensee Name:

Street Address:

City:

Zip:

Phone #:

Customer #:

 Chain Independent

Store #:

 Pre-sell Tel-sell

Salesman Name & Number:

Account Package Type:  Draft Only Draft/Package Package Only

Displayable?  Yes No

Days of Sales Call:  Monday Tuesday Wednesday Thursday Friday

Day of Delivery:  Monday Tuesday Wednesday Thursday Friday

Driver Name/Route Number:

After what stop?

On Premises?:  On Premise Off Premise

Comments:

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