Giant Eagle® Customer Account Application
for Bulk Gift Card Purchases

To order Bulk Gift Cards:
Fill out and print the following application.

Please send the completed application to:

Giant Eagle, Inc.
Gift Card Department
101 Kappa Drive
Pittsburgh, PA 15238

Fax: (412) 968-1554
    

COMPANY INFORMATION:
Date
Account Number (if you have one)
Account Status (create a new account or modify an existing one)		New   or  Existing
Company/Organization
Street Address
Street Address Line 2
County
City
State
Zip Code
Phone Number w/ Area Code
Fax Number w/ Area Code
Company/Organization Purpose		Profit   or  Non-Profit
Estimated Purchases (monthly or weekly and estimated volume)		Monthly   or  Weekly
ACCOUNTS RECEIVABLE INFORMATION:
Accounts Payable Contact
Title
A/P Phone # w/Area Code
Mail Statement to Customer?		Yes   or  No
Purchase Order Number Required?		Yes   or  No
Wire Fund Transfer?		Yes   or  No
Dun & Bradstreet Number
Tax ID Number
PURCHASER INFORMATION:
Person(s) Authorized to Purchase Gift Cards (You can authorize up to four people)
Purchaser #1
Purchaser #2
Purchaser #3
Purchaser #4
AUTHORIZATION:
Signature
Title
Date

FULL PAYMENT FOR GIFT CARD PURCHASES MUST BE MADE WITHIN THE SPECIFIED PAYMENT TERMS AS SET FORTH BY THE GIANT EAGLE CREDIT DEPARTMENT. (TERMS: 30 DAYS)

NOTE: THE CREDIT DEPARTMENT MUST HAVE WRITTEN NOTIFICATION OF ANY CHANGE IN AUTHORIZED PURCHASERS