New Customer/Ship To Form

    NEW CUSTOMER / SHIP TO FORM

    NEW CUSTOMER

    NEW SHIP TO

    CHANGE OF BILL TO

    CHANGE OF SHIP TO

    PREFERRED INVOICE / STATEMENT RECEIPT METHOD:MAILFAXEMAIL

    TAX STATUS:EXEMPTRESALEEXEMPT CONTAINER

    PLEASE ATTACH TAX CERTIFICATE

    WILL CUSTOMER EVER RECEIVE DELIVERIES TO BILL TO ADDRESS:YESNO

    IF CUSTOMER HAS A DIFFERENT SHIP TO ADDRESS, PLEASE FILL IN BELOW

    PLEASE ENTER CUSTOMER BUSINESS HOURS

    (MINIMUM 4 HOURS)

    CUSTOMER TAKES DELIVERY DURING LUNCH:YESNO