Client Information Form

Corporate Headquarters Information

Legal Client Name

Trade Name (DBA)

DUNs/TAX ID #

NAICS/SIC Code

Website URL

Years in Business

Worksite Information

Business Name (if different from above)

Address

City

State

Zip / Post Code

Worksite Contact

Title

Phone

Authorized to order temporary employees?

Worksite Contact

Phone

Fax

Authorized to order temporary employees?

Please list additional authorized personnel on an attached page.

Invoicing Information: All invoices will be sent electronically, unless otherwise requested.

Company Name (as it should appear on invoices)

Billing Address

City

Primary A/P Contact

Phone

Fax

Secondary A/P Contact

Phone

Fax

PO required?

Credit Information Link's Standard credit terms are net 20 days.

Bank Name

Bank Contact

Account #'s

Bank Phone

Trade References

1. Company Name

Phone

Address

City

State

Zip / Post Code

2. Company Name

Phone

Address

City

State

Zip / Post Code

3. Company Name

Phone

Address

City

State

Zip / Post Code

LINK OFFICE USE ONLY: Do not write below this point.

Office Number

Terms agreed to

Listradio Field

New Client
Reactivation
Prospect

Estimated Weekly Credit Requirement

Sales Person

Nature of Business

Manager's Signature

Phone

Client Information Form

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LOCATION

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Client Information Form

SUBSCRIBE NOW AND GET 5% OFF FIRST MONTH HR SUPPORT CENTER SERVICE

California Service Areas:

LOCATION

Connect With Us

LATEST POSTS

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