New Customer Information Sheet
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Email *
Business Name *
EIN# *
Business Address *
Billing Address *
Owner of Business *
Owner of Business Email *
Owner of Business Phone # *
Additional Owner of Business
Additional Owner of Business Email
Additional Owner of Business Phone #
Contact Name for Service, Email, Phone # *
Accounts Payable Contact Name *
Accounts Payable Email *
Accounts Payable Phone # *
Preferred Method of Billing
General Manager Name *
General Manager Email *
General manager Phone # *
Head of Finance Name
Head of Finance Email
Head of Finance Phone #
Head Engineer Name
Head Engineer Email
Head Engineer Phone 
Please list any procedures which need to be followed
Tax Exempt? *
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