Change of Address/Information Form

CHANGE OF ADDRESS/INFORMATION FORM

Please complete information that is new/needs updated under Updated Business/Club Information. Dealer Accounts that are requesting a change of address must include copies of license documents and required photos before any changes will be made to the account.

CURRENT BUSINESS/CLUB INFORMATION

Account No. (Must be filled in by customer wanting a change of information)

Current Company Name

Current Daytime Phone

Current Fax No

Current Website

Current Authorized Buyer

Current Email for Account Login

Current Business License #

Current State Sales Tax ID #

Current Billing Address Attention

Current Billing Address Line 1

Current Billing Address Line 2

Current Billing Address City

Current Billing Address State

Current Billing Address Zip

Current Shipping Address Attention

Current Shipping Address Line 1

Current Shipping Address Line 2

Current Shipping Address City

Current Shipping Address State

Current Shipping Address Zip

Updated Business/Club Information

Only complete fields with new or updated information

New Company Name

New Daytime Phone

New Fax No

New Website

New Authorized Buyer

New Email for Account Login

Business License # (FEIN OR SS#):

State Sales Tax ID #:

New Billing Address Attention

New Billing Address Line 1

New Billing Address Line 2

New Billing Address City

New Billing Address State

New Billing Address Zip

New Shipping Address Attention

New Shipping Address Line 1

New Shipping Address Line 2

New Shipping Address City

New Shipping Address State

New Shipping Address Zip

Tax Information

Please proceed to next page to attach copies of the following documents:

*Business License # File
*State Sales Tax ID # File

Other Information

I want to update invoice preference

For any customers with OPEN NET30 accounts, please check how you want to receive your invoices

Preferred Invoice Mailing Option

Invoice Email Address

Any Additional Information You Would Like Us To Know?

Dealer Photos

Please proceed to next page to attach copies of the following documents:

Photo of storefront and 3 different photos of retail area in store. The photograph of the storefront MUST include signage of the business. ** (Must have for location address changes- will not process without new photos of new location) **

Terms & Conditions

Complete Name

E-mail

Title Within Organization

Terms Agreed

Date

I hereby agree to pay Lancaster Archery Supply, Inc. all indebtedness now or hereafter owing by me to said company, whether individually, partnership or corporation. In consideration of Lancaster Archery Supply, Inc. extending credit to the above applicant, the undersigned does hereby individually and personally guarantee to Lancaster Archery Supply, Inc. the sum or sums of money as may at any time hereafter become due to Lancaster Archery Supply, Inc. from the said applicant for goods sold to the applicant whether said indebtedness be in the form of notes, bills, or open account. If it becomes necessary to use a collection agency or to enforce this guarantee by suit, I agree to pay collection costs, interest and attorney fees as allowed by law.