Business Application Form

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Organization Info *US Only and for Customs Purposes Only*
Organization Name*
Organization Type
Federal Taxpayers ID (TIN or EIN)
*Please attach Sales Tax Exempt certificate if exempt*
Accepted file types: jpg, pdf, Max. file size: 21 MB.
Billing Address
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Telephone*
Fax
Accounts Payable Contact Name*
First Last
Accounts Payable Phone Number*
Accounts Payable Email to Send Invoices*
Enter Email Confirm Email
Shipping Address (No P.O. Boxes)
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Receiving Contact Name*
First Last
Receiving Email*
Enter Email Confirm Email
Receiving Phone Number*
Equipment is going to ship palletized by common carrier.
**THIS SECTION MUST BE FILLED OUT**
Do we have to take an appointment for delivery of the equipment?*
- Yes
- No
Do you have a loading dock?*
- Yes
- No
Do you have a FORK LIFT to unload?*
- Yes
- No
Do you have a PALLET JACK to bring the pallets to the doors of the trailer?*
- Yes
- No
Can you accommodate access for a 53' truck?*
- Yes
- No
Is the delivery address a job site?*
- Yes
- No
Is the delivery address a military base?*
- Yes
- No
If yes, is a U.S. driver required?
- Yes
- No
Special Delivery Instructions
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Organization Info *US Only and for Customs Purposes Only*