Account Set-Up Form

Account Set-Up Form

Please complete this form prior to placing any orders. You will receive confirmation of completion, and a copy of your form via email. Please allow 1-2 business days processing time if you are requesting Tax Exemption or Credit Terms.
Company/Customer Name
Primary Account Contact

First NameLast Name
Title / Position
Primary Contact Phone Number

Area CodePhone Number
Primary Email Address
example@example.com
When order is complete, how would you like to be notified?
Is Official Company Name the same as shown above?
Official Company Name
Billing Address

Street Address

Street Address Line 2

CityState

Zip Code
Shipping Address same as Billing?
Shipping Address

Street Address

Street Address Line 2

CityState

Zip Code
Shipping Site Name/Description
Site Phone Number

Area CodePhone Number
On-Site Contact

First NameLast Name
Shipping Address

Street Address

Street Address Line 2

CityState

Zip Code
Do you have another Shipping Address to add?
Shipping Address #2

Street Address

Street Address Line 2

CityState

Zip Code
Shipping Site Name/Description
Site Phone Number

Area CodePhone Number
On-Site Contact

First NameLast Name
Do you have another Shipping Address to add?
Shipping Address #3

Street Address

Street Address Line 2

CityState

Zip Code
Shipping Site Name/Description
Site Phone Number

Area CodePhone Number
On-Site Contact

First NameLast Name
Accounting Contact Information
Where shall we send billing/invoices?
Accounting/AP Contact Name

First NameLast Name
Title / Position
Accounting/AP Number

Area CodePhone Number
Accounting/AP Email Address
How do you prefer to receive Invoices/Statements?
Account Tax Status
Do you have Resale ID/Tax Exempt Status?
Please Upload Current AZFORM 5000/5000A (Links to each form are provided below.)

Browse Files

Cancelof
Arizona TPT Exemption Certificate - General

Arizona Resale Certificate - Form 5000A
Requested Terms

All new accounts are COD. Based on consideration of volume and frequency of order(s), we are able to offer terms after initial orders. In many instances, even with terms, volume projects are still subject to Deposit Requirements.
Are you interested in applying for Credit Terms with USA Hall of Frames
Name of Principal Business Owner

First NameLast Name
Year Founded
Type of Business
Bank Information
Bank Name
Routing #
Account #
City, State
References
Trade Reference #1
Contact Name
Phone Number

Area CodePhone Number
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState

Zip Code
Trade Reference #2
Contact Name
Phone Number

Area CodePhone Number
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState

Zip Code
All information is correct.
Should be Empty: