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NEW CUSTOMER FORM
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First Time Customer Information Form
GENERAL INFO
CONTACT INFO
CREDIT APPLICATION
FORM CONSENT
NAME OF RMS EMPLOYEE YOU'RE WORKING WITH
YOUR FULL NAME
PHONE NUMBER
EMAIL ADDRESS
BUSINESS NAME
BUSINESS STREET ADDRESS
CITY
STATE
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
District of Columbia
ZIP CODE
OUTSIDE OF CITY LIMITS?
No
Yes
USE TAX EXEMPT? (IF SO, UPLOAD EXECUTED EXEMPTION CERTIFICATE)
No
Yes
IS A PURCHASE ORDER REQUIRED BEFORE BILLING?
No
Yes
IS BILLING ADDRESS SAME AS ABOVE?
No
Yes
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