New Customer Form : BestED Business

Purchaser/User Information #1

Please list the names and emails of all those who are authorized to purchase from BestEd.

Purchaser Name:

First

Last

Purchaser Email:

Phone:

Password will be assigned by BestEd Business:

Type of User:

User
Level 1 Administrator
Level 2 Administrator

Type of Approval:

None
By Approval Level
By Specific Administrator

If approval is by "specific administrator", please write the person's name below:

Send user tracking numbers for shipments:

Yes
No

Allow user to see recent orders:

Yes
No

Shipping Address:

Address Line 1

Address Line 2

City

State

Zip Code

Additional Purchasers? *

Yes
No

Purchaser/User Information #2

First

Last

Purchaser #2 Email:

Phone:

Password will be assigned by BestEd Business:

Type of User:

User
Level 1 Administrator
Level 2 Administrator

Type of Approval:

None
By Approval Level
By Specific Administrator

If approval is by "specific administrator", please write the person's name below:

Send user tracking numbers for shipments:

Yes
No

Allow user to see recent orders:

Yes
No

Shipping Address:

Address Line 1

Address Line 2

City

State

Zip Code

Additional Purchasers? *

Yes
No

Purchaser/User Information #3

First

Last

Purchaser #3 Email:

Phone:

Password will be assigned by BestEd Business:

Type of User:

User
Level 1 Administrator
Level 2 Administrator

Type of Approval:

None
By Approval Level
By Specific Administrator

If approval is by "specific administrator", please write the person's name below:

Send user tracking numbers for shipments:

Yes
No

Allow user to see recent orders:

Yes
No

Shipping Address:

Address Line 1

Address Line 2

City

State

Zip Code

New Customer Registration Form

BILLING INFORMATION

Purchaser/User Information #1

+1 414 313 9762

+1 414 732 1786

contact@bestedbusiness.com

Office

Mailing Address