Get New Account Application Customer Data Sheet - Ohio Willow Wood

This guide provides friendly and clear instructions on completing the New Account Application Customer Data Sheet for Ohio Willow Wood online. By following these steps, you will ensure that your application is filled out accurately and submitted correctly.

Follow the steps to successfully complete the application form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In the general data section, fill in the billing address with your name, full address, city, state, zip code, phone number, fax number, social security number, and employer identification number. Provide details about the type of business and how long you have been operating.
3. Indicate the type of organization by checking the appropriate box for individual, partnership, or corporation. Enter your email contact and email address.
4. Fill in the names of key individuals including the president, accounts payable representative, controller, purchasing agent, and certified prosthetist or orthotist. Provide their names and certification numbers where necessary.
5. For the shipping address, repeat the process by providing the name, full address, city, state, zip code, phone, and fax numbers.
6. List three businesses that you currently have open accounts with, excluding Otto Bock or Ossur, by providing their names, addresses, contact numbers, and account numbers.
7. List your bank reference, including the bank's name, address, contact name, and account number.
8. Read and agree to the terms of payment provided in the document, ensuring you understand your financial responsibilities.
9. Provide the requested personal guaranty signature and details, including your name, phone number, home address, and date.
10. Review all entered information for accuracy, then save changes, download, print, or share the form as needed.

Complete your New Account Application Customer Data Sheet online today to facilitate your account setup.