Credit - Betech Group

Betech Group LLC

5900 NW 99th Ave unit #7 Doral, FL 33178 Phone: (305) 468 - 0202 Email: info@betechgroup.net

Betech Group LLC

New Account Information Application for Payment by Company Check

All information furnished here in will be handled strictly on a confidential basis by ETG. (Toda la información aquí declarada será tratada con la mayor discreción y confidencialidad.)

Company Information

Company Name:

D&B #

Address:

Type of Business:

City, State & Zip Code:

Telephone(s):

Principal owner/officer name:

Fax

Home Address:

Social Security Nº:

Home Telephone Nº:

Years in Business:

Number of Employees:

Organization:

Last two years gross sales and current year’s projection (in U.S. $)

Year 1

Year 2

Current year’s projection

Tax Information

Employer (Federal) I.D. Nº

State Tax Resale Certificate Nº

State (Estado):

Additional Information

Are purchase orders required?

YES NO

Is there a minimum amount before purchase order is issued?

YES NO

Names of authorized buyers:

Authorized Signatures:

U.S. Customers

Drivers License Nº

State

Exp. Date

Date of Birth

International Customers

Passport Nº

Country

Exp. Date

Ship to adresses

Betech Group

Betech Group LLC

5900 NW 99th Ave unit #7 Doral, FL 33178 Phone: (305) 468 - 0202 Email: info@betechgroup.net

U.S. Customers

International Customers

Be Tech Group

Wholesale Cellphone

Customer Service

Newsletter

Social Media