New Client Intake & Document Upload

New Client Intake & Document Upload

Please complete your contact and billing information, upload any required tax forms or documents, and review and agree to our Terms and Conditions so we can prepare your estimate or proceed with your order.
Client Information
Date

MonthDayYear
Date
Full Name

First NameMiddle NameLast Name
Legal Entity Name
Legal Entity Type
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Fax Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Billing Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Shipping Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Business and Tax Documents
Project Tax Status
W-9 Form Upload

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Resale or Tax Exemption Certificate Upload

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Pricing Information
Have you received a price from someone in our office?
Quoted price
Who gave you the price?
Notes / Project Details
Please Upload Any Project Files, Plans, and/or Pictures
Project Documents or Plans

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Disclosure and Authorization
By submitting this form, I confirm that I have read, understand, and agree to be bound by the Terms and Conditions of Unique Stainless Designs, LLC, which are incorporated herein by reference. I authorize Unique Stainless Designs, LLC to rely on the information provided in this form and to proceed in accordance with the attached or linked agreement.
View / Agree to Terms and Conditions
Date

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Date
Signature
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New Client Intake & Document Upload

Client Information

Business and Tax Documents

Pricing Information

Please Upload Any Project Files, Plans, and/or Pictures

Disclosure and Authorization