New Customer

New Customer Form

    Company Name:
    Ship to Address:
    Ship to City:
    Ship to State:
    Ship to Zip:
    Ship to County:

    If Ship to Address located in Texas, or Indiana, sales tax will be collected. Please provide Tax Exempt or Resale Certificate if applicable.

    Purchasing Contact:
    Phone:
    Bill to Address:
    Bill to City:
    Bill to State:
    Bill to Zip:
    A/P Contact:
    Email:

    For Your Convenience TesCom accepts the following forms of payment for all expenditures under $1000:

    Visa, Mastercard, American Express, Discover

    Once the account reaches $1000 for any given calendar year, TesCom is pleased to provide the following options: Net 30 terms are provided to customers with strong credit histories. Payment is due 30 days from DATE of INVOICE. These terms will be reviewed periodically and are subject to change without notice based on payment history. For any questions about the above terms, please contact the TesCom accounting department at 512-244-6689 X 8281.

    Dunns #:
    Title:
    Date:

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