Account Setup • B2X Global

BUSINESS INFORMATION

Company name*

Phone number*

Primary business address*

Street Address City State ZIP

Tax ID

D&B number

A/P contact name*

First Last

A/P phone number*

A/P fax

A/P email*

Date business commenced*

Type of business*

Sole proprietorship

Corporation

Partnership

Do you have a physical location or legal nexus in California?*

Yes

No

Are you a reseller exempt from CA sales tax?*

Yes

No

Please upload your CA Resale Certificate:

Max. file size: 50 MB.

Are you requesting net payment terms from B2X Global?*

Yes

No

BANK & TRADE

Do you want to upload bank and trade information?*

Yes

No

Upload bank and trade information:

Max. file size: 50 MB.

BANK & CREDIT INFORMATION

Bank name*

Account number*

Bank address*

Street Address City State ZIP

Contact name*

First Last

Phone number*

Type of account*

Savings

Checking

BUSINESS REFERENCES

Upload references

Max. file size: 50 MB.

Manually add references

Company name	Email	Phone	Actions
			Edit Delete
There are no References.

Maximum number of references reached.

AGREEMENT

By submitting this application, you verify the information you provided is correct. You authorize B2X, LLC to make inquiries into the banking and business/trade references that you have supplied in order to establish credit worthiness. B2X may also request additional financial information to make a credit decision.

Name*

First Last

Title*

Date*

Acknowledgment*

I acknowledge the agreement above.

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