Company name * Purchasing Contact Name * Who will be the primary purchasing contact? Purchasing Contact Email * Where should we send order confirmations Order Confirmation Email * Where should we send order confirmations Billing Contact Name * Billing contact email * Invoice submittal email * Where should we send invoices? Bill to Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Preferred terms Credit is sometimes offered to customers. Contact the sales team to confirm eligibility. Credit Payment before shipment Preferred Payment method * Paper check ACH Credit Card (3% fee) Thank you!
