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Required Fields
Company Information
Legal Name:
*
Operating Name:
Address:
*
City:
*
State:
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Zip:
*
Country:
Phone:
*
Fax:
Primary Email Address
(for all order information):
Other Email Address:
Vendor Type:
Select the Vendor Type
Expense
Merchandise
Property Management
Rent
Storage
Construction
Other
Brief description of goods/services required:
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Fed Tax ID:
Sales Contact:
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Sales Contact Address:
Street:
City:
State:
Zip:
Sales Contact Email Address:
*
Phone:
*
Fax:
*
Dollar Tree Stores Contact Name:
*
Who requested you submit this form?
Payment Information
Remittance Address:
Street:
City:
State:
Zip:
Requested Payment Terms:
Net 45 ROG
2% 10, Net 45 ROG
Other Net ROG
Dollar Tree pays all invoices based on Receipt of Goods - ROG.
Other- please explain.
Payment Method:
ACH
**Dollar Tree Stores uses ACH as our preferred method of payment
ACH Contact Name:
ACH Notification Email Address:
***This person will receive payment notification.
Type of Account
Checking:
Investment:
Bank Name:
Bank Location:
City:
State:
Bank Account Name:
ACH or Transit Routing Number:
Account Number:
Insurance Information
Insurance:
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Insurance Company:
Expiration Date:
Shipping Information
Logistics Contact:
Logistics Contact Email Address:
Phone:
Fax:
Shipping To:
Stores
Distribution Centers
Shipping Point:
Shipping Policy:
Freight Collect
Freight Prepaid
EDI Information
Dollar Tree is EDI capable.
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Copyright © 2008 Dollar Tree Stores, Inc.
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