New Customer Set Up Form

New Customer Set-Up Form_
Legal Business Name*
Doing Business As (The Name You Go By)
Choose What Best Describes Your Industry*
Taxpayer Identification Number:*
Employer Identification Number (No Dashes)
What Brand Of Products Are You Ordering
What Brand of Product Are You Ordering ?- If ordering Multiple - Select 1 Machine ONLY (even if getting prefilled tubes as well)*
Billing Address*
Street Address
Billing Address
Street Address
City*
City
State*
State
Postal Code*
Postal Code
Is ship to the same as billing?*

YesNo
Ship To Name*
Ship To Address*
Street Address
Suite / Bldg / Attn:
Street Address
City*
City
State*
State
Postal Code*
Postal Code
What are your receiving hours?*
Is/are the delivery address(es) residential?*
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

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Contacts
Buyer/Purchasing Agent Name*

First NameLast Name
Buyer Email*
example@example.com
Buyer Phone Number*
Please enter a valid phone number.
Other Account Contact

Same As Buyer
Accounts Payable Contact - Where do we send copies of invoices?*

First NameLast Name
AP Invoice Email -we suggest a general inbox and not individual user*
example@example.com
AP Phone Number*
Please enter a valid phone number.
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.*
Shipping Contact - Who do we contact regarding shipping goods?*

First NameLast Name
Shipping Email*
example@example.com
Shipping Phone Number*
Please enter a valid phone number.

Display & Palletized Shipments
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*
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 height you MUST answer yes here.*
Is/are the locations considered "limited access" (often applies to malls, campgrounds, theme parks, waterparks, etc.)*

Is your company exempt from Sales Tax? This requires submitted for exemption through your local government. (not your Tax ID)*

YesNo
Sales Tax Exemption Form

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Please Enter Your Tax Exempt # Here
Note:
A copy of the Sales Tax Exemption must be attached OR emailed to reorder@creative-concepts to receive tax exemption. Initials* .
Dispensers / Displays are charged sales tax based on FOB Alabama rates regardless of exemption status. Tubes and Candy purchases are eligible for exemption. Customers are encouraged to work with their local government to obtain sales tax exemption status. Initials* .
Additional Notes/Instructions
Did you purchase your display used / from a third party seller?

NoYes
Please attach a picture of the display here OR email sales@creative-concepts.com

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Agreement Terms and Conditions
- 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*

Clear
Date*

MonthDayYear
Date
Should be Empty:

New Customer Set-Up Form_

Contacts

Display & Palletized Shipments

Agreement Terms and Conditions