Customer Information Form

Business Address *
Business Address
Business Phone Number *
Business Phone Number
Contact Name *
Contact Name
Contact Cell Number *
Contact Cell Number
Conditions of Sale *
Payment of cash, cashiers check, money order, or credit cars is required for the first four invoices. A business check will be accepted thereafter. There will be a $35 charge for each returned check and account terms will return to cash status. A minimum purchase of $300 is required for delivery (unless otherwise specified).