New Account Application - Monogram International Inc.

NEW ACCOUNT APPLICATION

Please enable JavaScript in your browser to complete this form.

PLEASE NOTE: Account will not be set up until this application is completely filled out and submitted along with a resale certificate form, if applicable.

Company Name:

Contact Person

First

Last

Phone

Fax

Email

Website / URL

Billing Address

Address Line 1

Address Line 2

City

State

Zip Code

Resale Certificate No

Federal Tax ID No:

Upload Resale Certificate Copy

Click or drag files to this area to upload. You can upload up to 2 files.

Upload Federal Tax ID Document

Click or drag files to this area to upload. You can upload up to 2 files.

Shipping Address (If different from billing address)

Address Line 1

Address Line 2

City

State

Zip Code

Preferred Shipper:

FedEx
UPS

(only for using your account)

Account#:

Checkboxes

Use shipper’s FedEx account and add the freight charge on the invoice. (Fed Ex Ground is a default if not specified on PO).
If the ship to address is a RESIDENTIAL address.

Type of Business:

How Long in Business:

Principal/Owner Name(s)

First

Last

Accounts Payable Contact:

First

Last

Accounts Payable Phone

Accounts Payable Email

Expected Monthly Purchases (US Dollars):

Selected Value: $0

Certificate ID Principal/Owner

How did you hear about us?

Trade show

Advertisement

Salesperson

Referred by Customer

Others: