Tri-Star Industries: Open an Account

Tri-Star Industries, Inc. – New Customer Profile

THIS IS NOT A SECURE FORM – DO NOT INCLUDE OR E-MAIL CREDIT CARD INFORMATION
PLEASE CONTACT US BY PHONE TO PROVIDE

Contact Information:

Company Name:

Main Address:

City:

State/Province:

Zip/Postal Code:

Main Phone:

Main Fax:

Email:

D&B Number:

URL-Web Address:

Billing Address:
(if different than main)

City:

State/Province:

Zip/Postal Code:

Billing Phone:

Billing Fax:

Payable Contact:

Ship to Address*:

Address #1

Address #2

If this is a residential address please check box:

Company Information:

Business Type:

Business Started:

Annual Sales:

S.I.C. Code:

Sales Tax I.D. #:

# of Employees:

Annual Insert Purchases:

Plant Size:

Referred to Tri-Star by:

Most shipments are made via UPS on a "prepaid & add" basis. If you prefer "UPS Collect" please list your UPS Account Number below. Also, please identify a trucking company as an alternative carrier.

UPS Account #:

Common Carrier/LTL:

Key Personnel:

Contact Name:	Title:	Phone:	Ext:	Fax:	Email:

Credit References:

Bank:

Bank Name:

Address:

Phone:

Fax:

Contact:

Account #:

Trade:

Company:	Address:	Phone:	Fax:	Contact:

* Thank You – Tri-Star Industries *