Customer Contact Dear Valued Customer, In an effort to maintain an accurate customer contact database, we are asking that you complete and return this form at your earliest convenience. Your assistance is appreciated. Company Name (required) Delivery Address (required) Remit To Address (if different) Purchasing Agent Name Phone Email Accounts Payable/Invoicing Name Phone Email Warehouse Receiving Name Phone Email Contact for Returnable Totes Name Phone Email Additional Contact Name Phone Email Thank you for your business! Δ
