Thank you for your recent Toysmith order. To ensure accuracy, we would like to verify your account information. Please fill out the form below in its entirety and email it along with your order to orders@toysmith.com or fax it to (800) 435-0703. Providing accurate and complete information will ensure your account is set up correctly and your orders will be processed without issue. If you have any questions, please contact: NEW ACCOUNTS at (800) 356-0474
BUSINESS VERIFICATION
LEGAL BUSINESS NAME: 
TRADE NAME (if different): 
Business is: 
Corporation
LLC
Proprietorship
Partnership
LLP
Non-profit
*Date Business Established: 
*Under Current Ownership: 
Wesbsite: 
*Federal Tax ID #: 
Do you have a catalog?: 
YesNo
How did you hear about us?: 
Other type of business (specify): 
Type of Business: 
Aquarium
Ecommerce
Educational Supply
Gift Store
Museum Store
Pharmacy
Toy Store
Zoo
Billing Address
Street: 
City: 
State: 
Zip Code: 
Phone: 
Fax: 
Shipping Address
Copy above Billing Address
Street: 
City: 
State: 
Zip Code: 
Phone: 
Fax: 
Buyer: 
Email: 
Accounts Payable Department Contact Information
Name: 
Email: 
Phone: 
Fax: 
Preferred Invoice Delivery Method: 
Email
Postal Delivery
Other
Business Principal
Name: 
Title: 
Address: 
State: 
Zipcode: 
Phone: 
Terms and Conditions:
** PLEASE NOTE: YOU WILL BE CONTACTED BY A TOYSMITH REPRESENTATIVE FOR YOUR CREDIT CARD INFORMATION WHEN YOUR ORDER IS READY FOR PROCESSING.

I hereby certify that all merchandise I purchase from Toysmith will be purchased for resale in the regular course of business.

Applicant further agrees to abide by all terms and conditions of sale, which include; payment in full according to stated terms on invoice and to pay and reimburse Toysmith for all costs and expenses of collection, including reasonable attorneys' fees and expenses incurred in connection with collection of any indebtedness owed to Toysmith whether or not a lawsuit is filed.
* Check to agree. By checking this box I agree to the above Terms and Conditions.
*Authorized Agent: 
*Title: 
*SIGNATURE
This Application may be signed digitally and facsimile signatures will be considered as originals.


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