Get Customer Application - Aetrex.com

Filling out the Customer Application - Aetrex.com online is a straightforward process designed to gather essential information for establishing a business account. This guide provides clear, step-by-step instructions to help users complete the application accurately and efficiently.

Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to obtain the form and open it in the designated editor.
2. Enter the business name in the 'Business Name' field and provide the billing address, including 'Address', 'City', 'State', and 'Zip' code.
3. Include the business phone number, fax number, and email address in the appropriate fields.
4. Indicate whether you would like to receive invoices via email by selecting 'YES' or 'NO'.
5. If the shipping address is different from the billing address, fill in the 'Shipping Address' fields with the same information requested for the billing address.
6. Specify the 'Type of Business' and enter the 'Date Established' along with the Dun & Bradstreet number, if applicable.
7. Fill in the owner's name, social security number, tax identification number, and state of incorporation number.
8. If your business is tax exempt, include a copy of the exemption certificate to avoid processing delays.
9. Provide credit card information in the designated fields, including card number and expiration date.
10. Print your name as it appears on the card and provide the signature of the cardholder.
11. List three trade references by filling in their names and fax numbers.
12. Read the agreement regarding the collection of accounts, ensuring understanding of the terms outlined.
13. Insert the date and provide the signature of the owner or principal, along with their title.
14. If applicable, include the personal guarantor's signature and print their name.
15. After reviewing all entries for accuracy, choose to save changes, download, print, or share the completed form as needed.

Complete your Customer Application online today to start partnering with Aetrex.