REQUIREMENTS

BIR Certificate of Registration (For New Customer)

Taxpayer Record Update (For Change in Name)

Business Permits (latest year)

SEC Certificate of Registration / DTI Certificate of Registration

Updated General Information Sheet (GIS)

VAT exempt / PEZA Certification (if claiming VAT exemption)

Photocopy of Valid ID (Authorized Signatory)

CUSTOMER INFORMATION SHEET

CUSTOMER INFORMATION
Business Owner Raymond Fujii Date Business Commenced
Company/Trade Name Central Craft Beverage Wholesaling  Sole proprietorship SEC/DTI
Nature of Business Distributor / Wholesaler  Partnership Registration No.:

Phone | Fax 09273331407  Corporation 1519305

E-mail raymondcfujii@gmail.com  Other (Specify): TIN No.:

Registered company 0639 Gumamela St, Villa Emilia, Manibaug Paralaya, Porac __________________ 266162124
address
COMPANY AUTHORIZED REPRESENTATIVE
Department Name of Authorized Representative Contact Information / Mobile No.

Receiving / Purchasing Raymond Fujii 09273331407

Treasury

Payable Raymond Fujii 09273331407

BANK REFERENCES
Bank Name: Bank of Philippine Island Bank Name: Security Bank
Bank Address: Angeles Pampanga Bank Address: Nepo, Angeles City

Phone 045 8924728 Phone 045 3223054

Account Number 8769169963 Account Number 0000048707831
Type of Account Savings  Checking  Other Type of Account Savings  Checking  Other
BUSINESS/TRADE REFERENCES
Company Name (Supplier) Booze Online Company Name (Customer)
Address Makati Address
Contact Person Gerard and Ross Contact Person
Contact Number Contact Number

AGREEMENT
1. All invoices are to be paid at the approved credit terms.
2. By submitting this application, you authorize us to make inquiries into the banking and business/trade references that you have supplied.
3. If the account exceeds credit limit, future orders will be on a C.O.D. basis until the account is approved for a higher limit. Additional
requirements may be required in the process.

Printed Name and Signature (Authorized Signatory) Raymond Fujii

Position Owner
Date August 11, 2022
 SYTEM INFORMATION UPDATE

To be filled up by Requesting Department: To be filled up by Accounting Department:

Credit Limit Customer ID
Currency Default GL & Sub-accounts

Terms Default Tax ID

Discounts Class ID Code

Requested By / Date Noted By / Date Approved By / Date Encoded By / Date Approved By / Date
Account Executive National Sales Manager Managing Director AR Supervisor Finance Manager