Customer Master Info

Type of Form(Required)

What kind of customer account change do you need?

Routing Location

Company Name(Required)

SAP Account #(Required)

Brands Approved(Required)

Brands Approved: (hold "Ctrl" key to select multiple brands)

Key Contact

Key Contact Phone

Primary Address(Required)

Primary Address of Business

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

Pricing(Required)

Pricing Update:

Freight Terms(Required)

Freight Terms:

Sales Office(Required)

Sales Office Affected

Attach Customer Credit App(Required)

Attach Customer Credit App

Accepted file types: pdf, Max. file size: 50 MB.

Company Website

Attach Customers Logo

Attached Customer's Logo

Accepted file types: jpg, gif, png, pdf, Max. file size: 50 MB.

Additional Comments

Key Contact's Email(Required)

Key Contact's Email

Order Acknowledgement Contact(Required)

Order Acknowledgement Contact

Invoice Receipt Contact(Required)

Invoice Receipt Contact

Purchasing Dept Contact

Purchasing Dept. Contact

TEch Team Contact

Technical Team Contact

Sales/Marketing Contact

Attach CRM Form

Attach CRM form here (if available)

Accepted file types: pdf, jpg, Max. file size: 50 MB.