New Customer Set Up Form

Legal Business Name*

Doing Business As

Taxpayer Identification Number:*

Employer Identification Number

Choose What Best Describes Your Industry*

What Brand Of Products Are You Ordering*

Buyer/Purchasing Agent Name*

First NameLast Name

Buyer Email*

example@example.com

Buyer Phone Number*

Please enter a valid phone number.

Billing Address*

Street Address

Billing Address

Street Address

City*

City

State*

State

Postal Code*

Postal Code

Where do we send copies of invoices?*

First NameLast Name

Do you require invoices and statements to be emailed to multiple addresses?*

YesNo

Please enter all email addresses here, one per line, we suggest at least one goes to a general shared box and not just individual email addresses.*

Invoice Email -we suggest a general inbox and not an individual users*

example@example.com

AP Phone Number*

Please enter a valid phone number.

Is your company tax exempt?

YesNo

Please Enter Your Tax Exempt # Here

If yes, upload tax exempt certificate here, failure to do so will result in a taxed account. If you need to send the form via email please let us know in the notes so we can reach out. Please know we MUST have a copy of the form for your account to maintain tax exempt status.

Is ship to the same as billing?*

YesNo

Ship To Name*

Ship To Address*

Street Address

City*

City

State*

State

Postal Code*

Postal Code

Are there multiple ship to addresses?*

YesNo

If yes, please list them here or upload a file with all ship to addresses.

Option to upload ship to address document

Who do we contact regarding shipping goods?*

First NameLast Name

Shipping Email*

example@example.com

Shipping Phone Number*

Please enter a valid phone number.

The following questions are designed to ensure that we choose the shipping option for the delivery of your initial display (if applicable) that will be both economical and provide the services that you need. These shipments are required to be transported by LTL carriers (think freight and not UPS). If an option is chosen as 'no' and the services are added upon delivery, by signing this agreement, you acknowledge that you will be charged in arrears for the services added by the freight company. Initials*

What are your receiving hours?*

Is/are the delivery address(es) residential?*

Is a delivery appointment required, please note the freight company will add a hefty charge for requiring a pre-determined time?*

Do you require inside delivery? Freight companies deliver to your dock. If you require assistance any inch further it will be at a charge from the freight company.*

Do you need a liftgate? If you do not have a loading dock and forklift or a pallet jack with ample heihgt you MUST answer yes here.*

Is/are the locations considered "limited access" (often applies to malls, campgrounds, theme parks, waterparks, etc.)*

Are you applying for terms? If no, we will reach out to you via phone call for a credit card number.*

YesNo

Do you want to wait for terms approval on the opening order? Please note this can take several weeks; or do you wish to process the first order with credit card?*

I will wait on terms for the initial orders.I will use credit card for orders until terms are established.

Name of Company Principal Responsible for Business Transactions*

First NameLast Name

Business Structure*

CorporationLimited Liability CompanySole Proprietorship

Date Business Commenced*

Date

State Of Formation*

Federal ID Number*

example xx-xxxxxxx

Do you have a standard credit reference sheet to upload?*

YesNo

Upload Credit Reference sheet here.*

Name of Financial Institution*

Checking Account Number*

Contact Name*

First NameLast Name

Contact Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Company Name*

Contact Name*

First NameLast Name

Contact Email Address*

example@example.com

Phone Number*

Please enter a valid phone number.

Company Name 2*

Contact Name*

First NameLast Name

Contact Email Address*

example@example.com

Phone Number*

Please enter a valid phone number.

Company Name 3*

Contact Name*

First NameLast Name

Contact Email Address*

example@example.com

Phone Number*

Please enter a valid phone number.

Additional Notes/Instructions

Initials* The information supplied by the applicant will be used to obtain credit information (if applied for) to open a Net 30-day account, and the applicant authorizes Creative Concepts to contact all references regarding credit and financial responsibility.

Initials* Parcel shipments are sent via FedEx or UPS. These charges will be added to the final invoice. You agree and understand that we do not provide quoting services. We bill the actual cost to the final invoice, also known as Prepay and Add.

Initials* If the account becomes past due, Creative Concepts reserves the right to put a HOLD on any future orders placed until the account is brought current. After the 30th day past due, the buyer agrees to pay 1-1/2% per month (18% per annum) service charge on unpaid balances. Buyer agrees to pay all collection costs, including reasonable attorney's fees, when applicable.

Initials* Returned checks are subject to a $45.00 NSF fee.

Initials* Prices are subject to change without notice. However, Creative Concepts will try to provide 30-day notice whenever possible. Surcharges from our suppliers are passed on as received without notice.

Initials* Creative Concepts shall not be liable for any injury, loss, or damage, special, direct, or consequential, arising out of delayed delivery, short shipment, or the inability to use the subject goods, its intended use, and the buyer assumes all risk and liability whatsoever in connection therewith.

Initials* The Seller is not responsible for conditions or delays beyond its control, such as, but not limited to, delays due to strikes, fires, severe weather, or carrier delays.

Initials* All goods are subject to inspection upon delivery. Claims of shortages, defects, or shipment errors must be reported to Creative Concepts within 3 days of receipt of shipment. Creative Concepts shall have a reasonable opportunity to verify such claims before goods under dispute are used or returned. **If verified, the seller's liability shall be exclusively limited to the replacement of goods and reasonable incidental handling charges. Failure to comply with this provision shall invalidate any claim by the purchaser, and the purchaser shall be deemed to have accepted the goods and waived all claims.

Initials* An order cancellation received after the order has been pulled and prepped for shipping will incur a 10% (minimum of $10) restocking fee. No fees will apply if an order is canceled before being prepped for shipping. Any cancellations received after the order has been shipped will be subject to our Return Policy.

Initials* Returns will not be accepted without our customer service department issuing a Return Materials Authorization Form (RMA). Contact customer service at (205)-838-0570 to obtain one. All returns are subject to a possible restocking fee and returning freight.

The applicant agrees to the terms and conditions as stated above.

Authorized Signature*

Date*

Date

New Customer Set-Up Form

Credit Terms Application

Bank References

Trade References

Agreement Terms and Conditions