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New Customer Profile


Customer Information:
*Name:
Title:
*Company:
Address:
City:
State / Territory:
Zip / Country Code:
Country:
*Phone:
Fax:
*Email:

Bill To: (blank if the same as above)
Name:
Title:
Company:
Address:
City:
State / Territory:
Zip / Country Code:
Country:
Phone:
Fax:
Email:

Ship To: (blank if the same as above)
*Name:
Title:
*Company:
Address:
City:
State / Territory:
Zip / Country Code:
Country:
*Phone:
Fax:
*Email:

Delivery Preferences:
Receiving Days (M/T/W/Th/F):
Receiving Hours (indicate range):
Can dock facility handle 18-wheeler with a 45-ft flatbed? (y/n):
Overhead Crane? (y/n):
Hand Unload? (y/n):

Packaging Instructions:
Max Weight:

Quality:
Original Mill Test Report (y/n):
Certificate of Conformance & Complance (y/n):
Marking Requirements::

Common Carrier Information:
List any preferred trucking firms:

Comments:
 

* Indicates required fields

 

 


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