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PREFERRED CLIENT
APPLICATION
*
Indicates required field
Company Name:
*
DBA (If applicable):
*
Billing Address:
*
City, State, Zip:
*
Phone Number:
*
Federal Tax ID #:
*
D&B #:
*
Shipping Address:
*
City, State, Zip:
*
Phone Number:
*
ACCOUNTS
PAYABLE
INVOICE RECEIPT CONTACT INFORMATION:
Name:
*
First
Last
Email Address:
*
Phone Number:
*
INVOICE FOLLOW UP CONTACT INFORMATION:
Name:
*
First
Last
Email Address:
*
Phone Number:
*
SALES
TAX
Are you exempt from sales tax?
*
Yes
No
Upload file
*
Max file size: 20MB
If you are tax exempt, please include your tax exemption certificate(s) with application for all states where product will ship.
REFERENCES
*
Business / trade:
*
Contact Name:
*
business name:
*
phone / fax:
*
address:
*
email:
*
City, state, zip:
*
Account #:
*
Business / Trade:
*
Contact Name:
*
Business Name:
*
Phone / Fax:
*
Address:
*
Email:
*
City, State, Zip:
*
Account #:
*
Business / Trade:
*
Contact Name:
*
Business Name:
*
Phone / Fax:
*
Address:
*
Email:
*
City, State, Zip:
*
Account #:
*
*Standard "Bank & Trades" form accepted. Credit card references not applicable.
Upload File:
*
Max file size: 20MB
The information provided above is accurate to the best of my knowledge. The undersigned agrees to payment terms of Net 30, unless otherwise indicated by contract. Unpaid invoices shall bear an interest rate of 1.5% per month until paid in full. Continued delinquency may result in loss of terms or termination of account. Manufacturers' warranties and return policies apply to all sales. Most software and custom-build items are non-returnable & non-refundable. The undersigned grants permission for information from their references to be released.
Name of authorized representative
*
First
Last
Title
*
Date
*
Submit
Home
About
Services
Partners & Products
Apple
>
Mac Means Business
>
Mac Means Business Registration
OtterBox
JAMF
TRUCE
MacStadium
ZAGG
Blog
Careers
Contact