DON'T FORGET TO FAX A COPY
OF YOUR COMPANY I.D.
THIS DOCUMENT WILL NOT
BE PROCESSED WITHOUT IT.
 K&K PARTY EMPIRE INC. Text Box: ****** 070109 Office Use ****** CUST # _________________ CUST TYPE _______________ CAT DATE _______________ Sent Via: P/U SHIP EP XP PURO ___WEB ____CP____
7787 132nd St. Surrey, B.C. V3W 4M8
(604) 590-1238  (800) 600-7128
FAX: (604) 590-0029  (866) 590-0029
info@partyempire.com www.partyempire.com
PURCHASE APPLICATION
YEAR BUSINESS BEGAN: PST#: WEB:
LEGAL COMPANY NAME: E-MAIL:
COMPANY NAME Doing Business As:  
BILLING ADDRESS:
CITY: Prov/
State: 		Postal
/Zip:
BILLING TELEPHONE (+EXT): FAX:
SHIPPING ADDRESS:
CITY: Prov/
State: 		Postal
/Zip:
SHIPPING TELEPHONE (+EXT):    
OWNER(S): MANAGER:
AUTHORIZED BUYERS: ACCOUNTING:
(only persons identified above will be allowed to purchase without owner/manager written consent)
TYPE OF BUSINESS: RETAIL STORE RENTAL SHOP DECORATOR FLORIST
DOLLAR STORE GIFT SHOP ENTERTAINER CARD SHOP
Training Centre Classes
OTHER (please specify)  
LOCATION IS:   STORE FRONT
PRODUCTS PURCHASED WILL BE USED FOR:
RESALE or PROMOTIONAL USE
OFFICE         HOME BASED
Main products: balloons party supplies floral wedding novelty/toy theme decor ribbon tableware
CHARGE CARD AUTHORIZATION: (sorry no C.O.D.'s)
This section must be completed [unless shopping in person] in order to purchase or orders will NOT BE SHIPPED.
  I hereby authorize K&K Party Empire Inc. to use the following credit card as payment on invoiced orders and/or
  as a security deposit on rentals ordered by: (name of business)
  Credit Card:   Visa   MC   Amex   Cardholder Signature:
  Credit Card Number:   Expiry Date:
  Cardholder Name:   Cardholder Telephone:
  Cardholder Billing Address: City: Prov/
State: 		Postal
/Zip: 		 
TERMS OF SALE (30 days terms not currently available on international orders)
I have read and agree to the Terms of Sale
COMPANY I.D. REQUIRED OR APPLICATION WILL NOT BE PROCESSED
MUST EMAIL OR FAX   ONE OF THE FOLLOWING
business license  resale tax certificate  yellow page ad  void imprinted business check
SIGNATURE: TITLE:
NAME: DATE:
 
SELECT ONE:   I will print and fax my application   I will send my application electronically