New Customer Information Form

Who are you working with at Sigler? *

Client

Client Account Name *

Bill to Address *

City *

State *

Zip *

Ship to Address

Same Address

Use Same Address as Billing

Ship to Address *

City *

State *

Zip *

Ship to Address Phone

3rd Party Shipper Carrier and Number, if applicable

Buyer/Contact

Buyer/Contact Name *

Phone *

Email *

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.

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