Customer Application

Customer Application

Thank you for your interest in working with Kübox LLC, doing business as Trünk. Complete the following form along with with the materials requested and email to accounting@thekubox.com. Upon receipt, your application will be reviewed, and unless there are any questions we will look forward to a long relationship.

Legal company name*

Doing business as (alternative names)

Website

Type of entity*

LLCIndividualPartnershipCorporation

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Contact Person

First NameLast Name

Title

Phone

Email

example@example.com

Federal ID #

If foreign entity, business registration

D & B #

Accounts Payable Contact*

Phone*

Email*

example@example.com

Purchases are*

TaxableTax Exempt (Please attach copy of exemption certificate)

I agree that purchases will be invoiced weekly with payment due upon invoicing.

Signature*

Date

Printed Name

First NameLast Name

Title