Customer Update Form Please fill out the following information: Basic Company Information Company Name (required) Branch Location (if applicable) Main Office Phone Main Office email Company Website Billing Information Company Billing Address (required) Company Billing Address Line 2 Bill-To City (required) Bill-To State (required) Bill-To Zip Code (required) Shipping Information Company Shipping Address (required) Company Shipping Address Line 2 Ship-To City (required) Ship-To State (required) Ship-To Zip Code (required) Accounts Payable Contact AP Contact Name AP Work Phone AP Work Email Order Acknowledgment Contact Order Acknowledgment Name Order Acknowledgment Phone Order Acknowledgment Email Would you like to receive marketing updates via email? (i.e. new products, pricelist updates, etc.) YesNo Additional Marketing Updates Contacts Contact 1 Name Contact 1 Email Contact 2 Name Contact 2 Email Contact 3 Name Contact 3 Email