New Customer Request Form (This is not an application)

    1. Company Information

    Date of Request :

    Business Name :

    Contact Person :

    Address :

    Contact Number :

    City, State :

    Postal Code:

    Business Phone :

    Email :

    Entity Type :

    Year Established :

    Type of Business :

    Federal Tax ID :

    Referred By :

    2. Products Interested

    Please state products you are looking to purchase. For example, Product Brand: Sunlee, Product Name: Rice Stick 3 mm.

    1a.) Product Brand :

    1b.) Product Name :

    2a.) Product Brand :

    2b.) Product Name :

    3a.) Product Brand :

    3b.) Product Name :

    4a.) Product Brand :

    4b.) Product Name :

    By checking this box, I understand that this form is not a new customer application. I understand that I will be contacted by the Sun Lee, Inc regarding assistance on applying the Sun Lee, Inc Customer Application. I agree to my details and personal information being used for the purposes of Sun Lee, Inc Customer Application (Credit Application). The information will only be accessed by necessary staff of Sun Lee, Inc. I understand my data will be held securely and will not be distributed to third parties. I have a right to change or access my information. We declare that the above information is true, correct.