New Customers

Customer Application

Instructions: Please answer ALL questions listed below. Federal Tax I.D. Numbers are required information. If a question does not pertain to your company or you individually, please mark the answer ‘N/A’. The customer has the obligation to notify Phillips Feed in writing as to any changes of the information supplied herein. Please read the important information listed on the bottom of this application before signing.

Fields marked with * are required.

State Tax Exemption Forms

Select the state your business is located in, then download and complete the relevant state tax form.