3. New Customer Information Form

"*" indicates required fields

Your Name*
Company Address*

Invoicing Information

We email invoices! Please provide us with an Accounts Payable contact and email address.
AP Contact
AP Email Address

Tax Exemption

Is your company tax exempt? Please upload your certificate.
Accepted file types: pdf, png, jpg, Max. file size: 128 MB.

Industry

Please select your company's industry. If not listed, select Other.

Shipping

UPS is the preferred package carrier for AMS Controls. Please provide a UPS account number if you would prefer to ship on your account. If you cannot receive UPS, please provide your preferred carrier and account number.
This field is for validation purposes and should be left unchanged.