New Account - Office Use Only Portion - Wisconsin Distributors

New Account Form For office use only - to be completed by sales personnel

ACCOUNT INFO
Business Name*
SALES INFO
Sales Person Name*
Sales Route Number*
Pre-Sell Day*
Delivery Route*
Delivery Day*
Route Sequence*
Sold after which account?
ACCOUNT HISTORY
Replacing an existing account?*
Replacing which account
If you answered yes above, you are required to enter account name here.
Reason for replacement
Final dollar amount owed to WDI LLC
Method of collecting final bill from old customer (which Salesperson/Team Leader is collecting and by what date?)
CUSTOMER ATTRIBUTES
Choose one answer for each question. If more than one answer is correct, choose the most appropriate response.
Consumption Type*
Consumption Type 2
- Package Only
- Package and Draught
Contemporary Adult*
Displays Allowed*
WI State License*
Pricing Policy*
Customer Type*
Approval
By completing this form, your approval is implied.
Sales Rep / Team Leader / Sales Manager*
Untitled

ACCOUNT INFO