New Customer Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Thank you for choosing FS Logistixs to place your order. Before we process your order, we request that you fill out the information below along with the attached Credit Application. Company Name *Buyer Contact *Accounting Dept. Contact *Email *Email *Phone *Invoice Submission Email *Billing Address *Address Line 1City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeShipping address same as billing? *YesNoShipping Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePO# Required *YesNoDNB# *Tax ID# *Have you received a quote? *YesNoQuote #Who are you working with from FS Logistixs? *Type N/A if not applicableExpected Annual Purchases *Printed Name *Your full printed name will serve as your digital signature Printed Title *Tax Exempt? Drag & Drop Files, Choose Files to Upload Please upload your tax exempt form.Please provide us with a completed exemption certificate at the time of order. Until that exemption certificate is received you will be expected to pay sales tax. We ship FOB shipping point. Any damaged items must be reported at time of receipt. Returns will only be accepted once authorization for the return has been obtained, subject to a restocking fee. All orders are to be emailed to ensure accuracy. Please be certain that your PO includes any special instructions such as carrier preference, shipping instructions, etc. Please NOTE: We prefer to be paid via ACH, please contact accounting@fslogistixs.com for more information. Submit Connect With Email accounting@fslogistixs.com Office Location 2120 East Winston Rd Suite AAnaheim CA 92806
