USE Current Customer - New Ship To Location Form

New Ship To Location

Purchasing, Fulfillment
Individual Filling Out Form Name:

First NameLast Name
Individual Filling Out Form Email:
example@example.com
Company Name:
New Ship to Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Primary Address Ship To Code - (GLN)
Purchasing Contact Info

First NameLast Name
Purchasing Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Purchasing Contact Email
example@example.com
Receiving Contact Info

First NameLast Name
Receiving Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Receiving Contact Email
example@example.com
GLID:
Delivery Hours & Special Delivery Instructions (lumper, lift gate, limitations on truck size, etc.)
Does customer require a lumper?
Will the customer order via EDI?
Should be Empty: