Company Name * Purchasing Contact Name * Who will be the primary purchasing contact? Purchasing Contact Email * Order Confirmation Email Where should we send order confirmations? Billing Contact Name * Who should contact with billing questions? Billing Contact Email * Where we should send billing emails? Invoice submittal email * Where should we send invoices? Our invoices are sent through our accounting system, QuickBooks Online. Bill to Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Preferred Terms Credit is offered to some customers. Discuss with our sales team to see if you are eligible. Credit Payment before shipment Preferred Payment Method ACH Paper check Credit card (3% fee) Thank you for you submission. We look forward to serving you.
