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Kombucha on Tap New Client Form

Form of Business

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Partnership

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Invoice delivery preference

Digital, emailed after delivery

Paper, at time of delivery

Preferred method of payment

COD (cash or check)

Credit Card (with Authorization form filled out)

ACH

Credit Terms Requested

Must provide minimum 3 trade references and banking reference for approval.

Trade reference 1

Trade reference 2

Trade reference 3

Banking reference

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