Customer Information Form

Please fill out the form below so we can get you entered and ready to do business in our system. If you are an existing customer you can also use this to update your account information with us. If you have sales tax exempt status, we will need a copy of your current certificate. For any questions on this form you can e-mail us at sales@filmloc.com or call 404.892.8778.

BILL TO INFORMATION

Company Name

Phone

Website

Street Address

Suite/Unit/Bldg #

City

State/Province

Zip code

ACCOUNTS PAYABLE

Name

Title

Phone

SEND STATEMENTS TO

SAME AS ACCOUNTS PAYABLE

Name (For Statements)

Email Statements To

Title

Phone (Statements)

SEND INVOICES TO

E-Mail Invoices To

SEND ORDER CONFIRMATIONS TO

Order Confirmation Name and E-mail Address

SHIP TO INFORMATION

Check Box if Same as Bill To Information

Ship To

Phone (For Shipments)

Street Address

Unit/Bldg/Suite #

City

State/Province

Zip code

SHIPPING COMPANY OPTIONS (CHECK ONE) Note: Our primary carrier is UPS. We do not ship via USPS

FilmLOC Carrier Prepay & Add to Invoice

Your UPS Account #

UPS Account #

Your FedEx Account #

FedEx Account #

DOES YOUR COMPANY HAVE SALES TAX EXEMPTION?

YES

If YES Upload a copy of your resale certificate

Upload File

If NO You must list your State and County below

State

County

Thank you for your information! We look forward to doing business with you