EmailMe Form - STONEWALL NEW CUSTOMER FORM

STONEWALL WILL NOT SHIP TO A HOME ADDRESS UNLESS YOU SUPPLY YOUR OWN SHIPPER #. FREIGHT PROMOS AND CAPS WILL NOT APPLY.
PLEASE PROVIDE YOUR UPS OR FED EX SHIPPER # BELOW IF SHIPPING TO A RESIDENTIAL ADDRESS:

**ONLY SHIPMENTS TO NON RESIDENTIAL BUSINESS ADDRESSES QUALIFY FOR FREIGHT PROMOS AND FREIGHT CAPS.

Billing Info

Business Name

Primary Contact Name

First Last

Phone

### - ### - ####

Billing Address

Street Address City State / Province / Region Postal / Zip Code

Is this your Storefront?

Yes

No

Email

Web Site

Accounts Payable Name

First Last

Person who gets the invoices and pays them.

Phone

### - ### - ####

Email

Business Name

*Delivery Address (if different from Bill To):

Street Address City State / Province / Region Postal / Zip Code Country / Region

Is this your Storefront?

Yes

No

Business Type:

Corporation

Sole Proprietor

Partnership

Phone

### - ### - ####

Sales Tax Permit File Upload

Federal Tax ID# (EIN). Used to file your taxes. If you file using your SS#, you can use that.

Who is Your Cliff Price & Co Sales Rep?

Put CP if unknown.

When can you accept deliveries? Monday - Friday (Indicate Hours)

Backorders Accepted? Yes or No

(Flat 15% or 10% depending on Terms)

These Questions apply to shipments 200+lbs on pallets.

Do you have a Loading Dock?

Yes

No

Can you accept palletized deliveries?

Yes

No

Do you require a Lift Gate for Palletized Deliveries? THERE IS AN ADDITIONAL CHARGE OF $50.

Yes

No

If you don't have a loading dock or a forklift, you will require a liftgate.

Do you need Palletized deliveries inside? THERE IS AN ADDITIONAL CHARGE OF $40.

Yes

No

If you reply YES, you must have double doors wide enough for a complete pallet to fit through.

Date Time

MM / DD / YYYY

Unique ID