New Account Questionnaire
Questionnaire for all customers and leads seeking new accounts
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Name of the Sales Department Personnel by whom you had spoken to, or were referred by? *
Company Name *
Primary contact first name? *
Primary contact last name? *
What is your preferred method of contact? *
Required
Best direct phone number? *
Email address? *
Do you plan to resell these products through retail, wholesale or export? *
Required
Do you have a storefront on any of the below e-commerce marketplaces? *
Required
What categories would you be interested in receiving offers for? *
Required
Any questions you would like to ask us?
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