Account Set-Up Form Company/Municipality Name(required) Other/DBA Name Federal Tax ID Number(required) Billing Contact Information I will accept invoices by the following methods(required) Email Fax US Mail Billing/Mailing Address(required) Accounts Payable Contact(required) Accounts Payable Contact Phone(required) Accounts Payable Fax Accounts Payable Email(required) General Business Information Is Your Primary Business Address the Same as Your Billing Address? (required) Yes No Primary Business Address(required) Are Purchase Orders Required? (required) Yes No Would You Like a W-9 Sent to You? (required) Yes No Email address for W-9(required) Are You Sales Tax Exempt? (required) Yes No Sales Tax Exemption Number(required) Please Upload Sales Tax Exemption Form(required) Browse... Maximum size 10MB Is Your Shipping Address in North Carolina, South Carolina, or Texas? (required) Yes No What is the County, Municipality, and/or Jurisdiction Where Your Shipping Address is Located Please Upload W9 Browse... Maximum size 10MB Type the characters(required) This field should be left blank Send Please wait...
