New Customer

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New Customer Form

    Remit to and Bill to Corporate Address: 3317 El Salido Pkwy | Cedar Park, Texas 78613 | 512.244.6689
    If Ship to Address located in Texas, or outside Texas, sales tax will be collected. Please provide Tax Exempt or Resale Certificate if applicable.

    Company Name:

    Ship to Address:

    Ship to City:

    Ship to State:

    Ship to Zip:

    Ship to County:

    Purchasing Contact:

    Phone:

    Email:

    Bill to Address:

    Bill to City:

    Bill to State:

    Bill to Zip:

    A/P Contact:

    Phone:

    Email:

    Title:

    Date:

    All Accounts Under $5000 Will Require a Credit Card Unless Approved by Tescom Management

    Visa, Mastercard, American Express, Discover