New Customer Information Form

Who are you working with at Sigler?

Client

Client Account Name

Bill to Address

City

State

Zip

Ship to Address

Use Same Address as Billing

Ship to Address

City

State

Zip

Ship to Address Phone

3rd Party Carrier and Number, If Applicable

Buyer/Contact

Buyer/Contact Name

Phone

Ship to Contact Name

Phone

Accounts Payable Contact

Phone

Fax

Email(s)

Invoices

Submit Via

Mail to the billing address and A/P contact provided above

Email Invoice To

Purchase Order

Required for Payment

Yes, required; we will provide a valid PO# before work is to be started

No, not required; we will pay invoices that do not reference a PO#

Sales Tax Exemption #, if applicable*

*If claiming exemption a copy of the Iowa Dept of Revenue Sales Tax Exemption Form (tab "STE 31-014") must be faxed to 515-956-3704 or submitted via email to accountsreceivable@sigler.com prior to invoicing. Without this completed form on file Sigler invoices will show a tax amount due and will not be considered paid in full until tax payment is received.

Payment Terms

N/A - Payment will always be made upon pickup or prior to shipment via Cash/Check/CC.

Net 15 - Business is for-profit and established more than 10 years ago; references may be requested.

Net 30 - My credit application is completed and being submitted separately.

Other

If requesting terms, a completed Credit Application must be submitted for review and receive approval from Sigler's Credit Department prior to invoice creation.

Please Explain

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