Application To Set Up Account

Company Name

Primary Ship-To Address

Enter Address

Street Address

Address Line 2

City

State

Zip Code

Country

Phone/Mobile

Company Fax

Company Email

Federal Tax ID

Preferred Shipping Method

UPS

FedEx

DHL

Other

UPS or FedEx Account Number

Shipping Service Collect Number

Billing Address

If same as Primary Ship-To

Billing Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Primary Contact Information

First Name

Last Name

Title / Position

Phone/Mobile

Accounts Payable Contact Information

First Name

Last Name

Title / Position

Phone/Mobile

Other Information

Special Marketing or Shipping Instructions

If applicable, select one of the following:

Sole Proprietorship

Partnership

Corporation

Other

Virtual Signature Authorized by Company

By submitting this application, you authorize Jarvis Cutting Tools to make inquiries into the banking and business/trade references that you have supplied. It is agreed and understood that all invoices are due and payable 30 days from the invoice. Applicant further understands and agrees that invoices that are not paid within terms are subject to further legal action including legal action at applicant’s expense. If any action is commenced for collection of past due amounts, applicant will be charged all costs for such collection, including but not limited to attorney fees.

Application To Set Up Account

Complete This Form to Set Up Your Account

Primary Ship-To Address

Billing Address

Primary Contact Information

Accounts Payable Contact Information

Other Information

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