Z3 Account Request Form (Internal Use Only) Third Party Customer AccountsIn Sales Portal you can only record visits to customers with accounts. At times we visit our customer's customers and help service their samples and displays. We would like to record these visits and activity in Sales Portal. In order to do this we need to create phony accounts for these third party customers so they will show up in Sales Portal. We plan to put "Z3" at the front of each of these account names so they will sort to the bottom and so they will be easy to identify. These accounts will be place on a hard hold so no orders can be placed on these accounts.Account InformationCompany NameAddressAddress Line 1Address Line 2CityStateZip CodePhone/MobileFaxEmailContact Person (First Name)(Last Name)Assigned Aquabella Branch- Select -AnaheimDallasHoustonLas VegasNew JerseyOklahoma CityJacksonvillePhoenixPort St. LucieSacramentoTampaAssigned Sales Person- Select -Suzie CongerJamon RoestBenny GomezChuck PerryJoshua DemasChrista BonnKate GentryAlan AcingerNate TurnerMichael SkeansKarina ValdiviaBelinda ScronceRandy NicholsMelina BanuelosLuis GarciaZach BotheroydKaren MontesJohn CalayagShawn RoestShawn FafordDanny WeissMichelle FricanoGarrett ThibodeauxJennifer GearyCurtis TurnerShawn FafordTim GarnerWhere does this company purchase Aquabella products? Or Who do they Send to Purchase the Products for their Projects?Distributor's/Tile Installer's NameDancik Account NumberSubmit Form Save Draft View Drafts