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
Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip CodeCountry
Contact Person
First NameLast Name
Title
Phone
Format: (000) 000-0000.
Email
example@example.com
Federal ID #
If foreign entity, business registration
D & B #
Accounts Payable Contact
Phone
Format: (000) 000-0000.
Email
example@example.com
Purchases are
I agree that purchases will be invoiced weekly with payment due upon invoicing.
Signature
Clear
Date
MonthDayYear
Date
Printed Name
First NameLast Name
Title
Should be Empty: