Customer Registration/Update Form

Please Fill Out the Following Information Below

Company Name

Accounts Payable Contact

Accounts Payable Email-multiple emails separate with comma

Billing Street Address

Billing Street Address Line 2

City

Region/State/Province

Postal / Zip code

Shipping Street Address

Shipping Street Address Line 2

City

Region/State/Province

Postal / Zip code

Customer shall pay all invoices within thirty (30) days of receipt (the “Invoice Due Date”). Any invoice not paid within thirty (30) days of the invoice date will automatically incur a late payment charge of two percent (2%) per month.

Any disputes or discrepancies must be reported in writing within [7] days of the invoice date.

These payment terms shall supersede any conflicting terms and conditions contained in the Customer’s purchase order or other procurement documents, including but not limited to any payment terms exceeding thirty (30) days.

I agree to the terms & conditions

Thanks for submitting!