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BestEd New Customer Information Form

You are here: Home > BestEd New Customer Information Form

- Step 1 of 2

Company/Organization Name: *

BILLING INFORMATION

Billing Address: *

Address Line 1

Address Line 2

City

State

Zip Code

Phone:

Fax:

Accounts Payable Representative’s Name:

Accounts Payable Email Address:

Are you tax exempt:

Yes
No

If yes, please email or fax a copy of your tax exempt certificate to: (262) 242-7639 or contact@bestedbusiness.com

Purchaser/User Information #1

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

Name:

First

Last

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

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

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

Captcha *

What is the fourth letter of the alphabet?

Type the answer in the field above to help us filter spam.

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p: (414) 313-9762
(414) 517-6222
e: contact@bestedbusiness.com
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