New Account Application - FabricadeFabrics.com

Business Name(Required)

Business Tax ID / Resale Certificate #(Required)

A business tax id and/or resale certificate # are requried to open an account with us.

Primary Contact(Required)

First Last

Addresses

Physical Address(Required)

Street Address Address Line 2 City State Zip Code

Billing Address(Required)

Street Address Address Line 2 City State Zip Code

Shipping Address(Required)

Street Address Address Line 2 City State Zip Code

Contact Information

Email(Required)

Primary Phone(Required)

Cell Phone

Fax

Website

Business Information

What type of upholstery/drapery work do you do?(Required)

Residential Upholstery

Commerical / Hospitality Upholstery

Automotive Upholstery

Marine Upholstery

Outdoor Upholstery

Draperies

Drapery Lining

Drapery Hardware

Upholstery Tools and Supplies

What Fabric Companies do you currently purchase from?(Required)

Resale Certificate

Please attach a PDF of your state’s Resale Certificate. You can find resource for your state here.

Accepted file types: pdf, Max. file size: 128 MB.

Payment Terms Requested(Required)

Credit / Debit Card

Net 30 (Credit application required)

Tax Information

Business Legal Name(Required)

Type of Company(Required)

Sole-Proprietor

Partnership

Corporation

Year Established(Required)

Federal Tax ID(Required)

Principals, Officers, or Owners

How many Principals, Officers, or Owners in your company?(Required)

Principal 1 Name(Required)

First Last

Principal 1 Title(Required)

Principal 1 Address(Required)

Street Address Address Line 2 City State Zip Code

Principal 2 Name(Required)

First Last

Principal 2 Title(Required)

Principal 2 Address(Required)

Street Address Address Line 2 City State Zip Code

Principal 3 Name(Required)

First Last

Principal 3 Title(Required)

Principal 3 Address(Required)

Street Address Address Line 2 City State Zip Code

Trade References

How many trade references do you have?(Required)

Company 1 Name(Required)

Company 1 Phone(Required)

Account # with Company 1(Required)

Company 2 Name(Required)

Company 2 Phone(Required)

Account # with Company 2(Required)

Company 3 Name(Required)

Company 3 Phone(Required)

Account # with Company 3(Required)

Bank Information

Bank Name(Required)

Bank Contact Name

First Last

Bank Address(Required)

Street Address Address Line 2 City State Zip Code

Bank Phone(Required)

Bank Account #(Required)

Authorization to Release Information

The undersigned hereby authorizes above bank to release information on my/our account(s) to East Coast Fabrics for the purpose for establishing credit terms. It is agreed and understood that the undersigned will hold harmless the companies engaging in the exchange of such information and understands that the information provided is for determining credit worthiness as a routine business practice. East Coast Fabrics assures the confidentiality of the information provided and makes no claims toward the accuracy of such information received.

Signature(Required)