NEW ACCOUNT APPLICATION
We appreciate your interest in Southern Hobby Supply, Inc. As part of this application, a copy of your Business
License and state issued sales tax permit are required for all customers.
SHS Sales Rep (if applicable) Date:
Legal Name of Business DBA Name if Applicable
Owner’s Full Name Federal Tax ID
Billing Address Shipping Address (if different than billing address)
Street Address Street Address
City, State, Zip City, State, Zip
Delivery Type: Commercial Residential
Website Address Phone Fax
E-mail Authorized Buyers and Owners
Resale Tax ID# State of Issue
Business Type: Corporation Sole Proprietorship Partnership LLC
Date Company started business? How long at the above address?
State business is registered Does the business have multiple locations?
Requested Method of Payment (check one)
Credit Card Check Cash COD Company Check COD Money Order
In submitting this application and signing below, customer acknowledges that customer has reviewed and
approved the Terms of Sale as posted on www.southernhobby.com and agrees to be bound by such terms.
Jurisdiction and Venue
Customer agrees that this Agreement shall be construed and governed by Tennessee law, and that any dispute
between Customer and Southern Hobby Supply, Inc. shall be governed by Tennessee law. Customer agrees that any
legal action or proceeding arising out of or related to this Agreement or to the relationship or business dealings of
Customer and Southern Hobby Supply, Inc. shall be brought only in a court located in Davidson County, Tennessee,
and Customer consents to jurisdiction, both personal and subject matter, and to venue, in Davidson County,