wildwoodlamps Sign Up Information

ERIN YEVAK

Marketing & E-Commerce Admin.

O 252 446 3266

F  252 977 6669

*Company Name:

Jon

*Company Address:

07967401497

*City:

London

*State:

Jon

*ZIP Code:

90275

*Contact First Name:

Levi

*Contact Last Name:

Hill

*Phone Number:

07993616074

*Email for Contact:

@

*Email for Orders & Invoices:

@

*Do you currently have an account with our affiliate company, Chelsea House?:

No, Not Sure

*Federal Tax ID Number:

@

*Business Type:

Retail Store - Multiple Locations (2), Interior Designer, Contract/Hospitality Designer, Lighting Showroom, Office Equipment Dealer, International Customer

Website:

Jon

*Years in Business:

Jon

Ship to Name:

Jon

Shipping Address:

173 Langham Road

City:

136 Langham Road

State:

London

ZIP Code:

90275

Email for FedEx Tracking Information:

@

FedEx/UPS 3rd Party Account Number:

Jon

Receiver/Warehouse Name:

Jon

Receiver/Warehouse Address:

246 Langham Road

City:

90275

State:

London

ZIP Code:

90275

Freight Carrier of Choice:

Jon

Freight Type:

Collect, Third Party

Special Freight Instructions:

140 Langham Road

Reference Name #1:

Jon

Email:

@

Phone Number:

@

Reference Name #2:

07999493029

Email:

@

Phone Number:

@

Reference Name #3:

07918696705

Email:

@

Phone Number:

@

Notes:

187 Langham Road