New Customer Application

PARADIES GIFTS, INC.
2305 West Airport Blvd.
Sanford, Florida 32771		 PHONE: 407-290-5288 Ext. 118
FAX: 407-290-6471		   DATE:______________    
   
Company Name:_______________________________________________
   

Owners Name:________________________________________________
 
Address:_____________________________________________
 

City:   ___________________________State:_________Zip:_____________
 
Telephone: ____________________________Contact Person:__________________
 

Shipping Address, if Different:______________________________________
 
City:   ___________________________State:_________Zip:_____________
 

Kind of Business:________________________________________________
 
P.O. Required?     YES  /  NO Authorized Purchasing Agent: __________________
   
Business Inc:  YES  /  NO State: _______________

If Subsidiary, Name of parent Company: ______________________________
 
Credit  Terms Desired:     (if yes click here)           No____
 
E-mail:_______________________________________________
 

Florida Customers Only!

RESALE CERTIFICATE:

 Florida Customers will have to provide us a “signed” copy of the 2009 Annual Resale Certificate” Please be sure it is signed and dated on the bottom right of the form. Paradies Gifts does not collect Sales Tax.

Fax to: 407-290-6471 or Mail to: 2305 West Airport Blvd, Sanford, Fl 32771