Get New Account Application - Centurion Medical Products

Filling out the New Account Application for Centurion Medical Products is an essential step for establishing your business with our services. This guide provides clear, step-by-step instructions to help you complete the form 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 editor.
2. Begin by entering the primary information. Fill out the business name and business phone number in the respective fields. Provide your primary street address, ensuring you do not use a P.O. Box. If you have a secondary street address, you may include it in the designated space along with your city, state/province, and zip/postal code.
3. Proceed to the contact information section. Enter the first name and last name of the primary contact person, followed by their phone number and fax number. Include an email address for correspondence. If applicable, indicate the Centurion sales representative or another contact person and specify the product(s) you intend to purchase.
4. Indicate your requested credit limit in the allowed field to complete the financial overview.
5. If your shipping address differs from the primary address, select the relevant checkbox and fill out the shipping details including the business name, care of name (if applicable), street address, secondary street address, city, state/province, and zip/postal code.
6. For the billing address, you can check the boxes if it is the same as the primary or shipping address. If it differs, enter the business name, care of name, street address, secondary street address, city, state/province, and zip/postal code.
7. In the billing information section, specify your sales tax status by selecting either taxable or non-taxable. Attach the exemption certificate if you select non-taxable.
8. Choose your preferred invoice delivery method. If it is different from standard mail, you can specify e-mail or EDI, and fill in the required email addresses for each method.
9. After completing all sections, review your entries for accuracy. Once confirmed, you can save your changes, download the document, print it, or share it as needed.

Complete and submit your New Account Application online today to establish your account with Centurion Medical Products.