New Customer Form Legal Business NameDBA or Business NameContact Person First Last Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneMobileFaxOther PhoneWebsite Email Type of Business Sole proprietorship Partnership Corporation State of IncorporationDate of Incorporation MM slash DD slash YYYY Does your company have multiple locations? Yes No If yes, please list area locations:Federal EINSate Tax Exemption IDYears in BusinessDescription of Current Business OperationsBrand, Products and Services OfferedNumber of CustomersHow did you learn about Waterworld USA?ACCEPTANCE This form is for information and evaluation purposes only. At our sole discretion, Waterworld USA, Inc., reserves the right to accept or reject this application. All approved sales to Applicant are subject to Waterworld USA, Inc’s terms and conditions of sale.SignaturePrint NameTitleDate MM slash DD slash YYYY Please upload your Business Registration, DBA or Articles of Incorporation and Driver’s License. Business Registration, or DBA, or Articles of IncorporationAccepted file types: png, pdf, jpg, Max. file size: 256 MB.Sales Tax Exception CertificateAccepted file types: png, pdf, jpg, Max. file size: 256 MB.Driver’s LicenseAccepted file types: png, pdf, jpg, Max. file size: 256 MB.