Set Up New Account Billing Form, Sam La Grassa's World's No.1

Billing Account Form

CORPORATE CATERING FAX (617)-357-1858
If you want to send the form via fax, please download the PDF Account Billing Form

Company Information

Corporate Name:
Address:	Floor:
City:	State:	Zip:
Tax Exempt?: Yes No	* Must FAX Certificate of Excemption

Billing Contact Person

Approved Users

CORPORATE CATERING FAX (617)-357-1858
If you want to send the form via fax, please download the PDF Account Billing Form

Hours MON - FRI 11:00 am - 3:30 pm ♦ 44 Province St. Boston, MA 02108 View Map ♦ Tel: 617.357.NUM1 617.357.6861