ACD New Customer Registration
Please complete the form to the best of your ability, as this will help us to ensure a smooth customer experience. You may contact ar@acdtheatrical.com or call 800-382-3961 ext. 5 with questions. Thank you!
Account Contact Name
*
First Name
Last Name
Account Contact Email Address
*
example@example.com
Company Name
*
Is this project publicly funded/bonded?
*
Yes
No
Select a Payment Method
*
Credit Approval with Payment Terms (net 30 standard terms)
Pre-Payment (one-time credit card or check/ACH)
Other
AP Email Address (MUST be valid)
*
must be correct AP contact, not project manager or customer support contact.
Company Bill To Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Bill To Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
With whom at ACD have you been working?
*
example@acdtheatrical.com
Rate Approval Urgency
*
Not In a Hurry
1
2
3
4
Very Urgent
5
1 is Not In a Hurry, 5 is Very Urgent
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Credit Application Information
Confidentiality Notice: All information submitted in this credit application is treated as confidential and used solely for the purpose of evaluating credit eligibility. Access is limited to authorized personnel and trusted financial partners, and your information will not be shared, sold, or disclosed except as required to complete the credit review or as required by law. Please contact ar@acdtheatrical.com or call 800-382-3961 ext. 5 for questions regarding this application.
Federal Tax ID#
*
Dunn & Bradstreet #
Legal Structure
*
In Business Since
*
Business Classification
Principal Officer
*
Purchase Order Required?
*
Yes
No
Other
Sales & Use Tax Exempt?
*
Yes
No
Ship To Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Credit Application Cont'd
Credit Amount Requested
*
Customer Name (if applicable)
Billing Portal URL (if applicable)
Is there anything else we should consider as a part of your request for credit?
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Bank Reference
Please enter information for your financial institution.
Bank Name
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
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Trade References
Please provide information for three credit/trade references.
Company #1
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Reference Contact Email
*
example@example.com
Account Number
Company #2
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Reference Contact Email
*
example@example.com
Account Number
Company #3
*
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Reference Contact Email
*
example@example.com
Account Number
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Required Form
In the following sections, please complete or upload all applicable forms.
Upload completed W-9 Form here:
*
Browse Files
Drag and drop files here
Choose a file
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Optional Forms
Please add any additional forms as applicable below.
Upload Sales & Use Tax Exempt Form if Applicable ONLY complete this portion if you are sales tax exempt.
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Are you publicly funded? Please provide any relevant bond or AIA documents.
Browse Files
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of
Are you Not for Profit? Please also provide your IRS Determination letter.
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of
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Certification & Authorization
I certify that all information submitted is true, correct, and complete. I understand that submission of this form and my electronic signature constitute an official request for customer account creation and authorize Associated Controls + Design (ACD) and its affiliated entities to obtain, verify, and rely upon this information for the purpose of entering a payment agreement by either completing a one-time payment or evaluating creditworthiness for account terms as applicable.
Type Your Full Name to Sign Electronically
First Name
Last Name
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