Send RHS catalogs via
USPS to this address

Send RHS catalogs via
USPS to this address

Is the above street address a residence?

Additional documentation is required to verify the name and type of business,
shipping address, phone number, and fax number.

Please attach at least one of the following (acceptable file formats: .gif, .jpg, .pdf, .png)

Advertising Literature

Business Card

Business Invoice

Company Invoice

Yellow Page Ad

In the event if becomes necessary to commence legal action to collect amounts due,
Applicant agrees to pay all collection costs, court costs, and reasonable attorney’s fees.

I agree and certify that the above information is correct and should be relied upon for the stated purpose.

REQUEST ACCOUNT