New Customer Form

NAME OF RMS EMPLOYEE YOU'RE WORKING WITH

YOUR FULL NAME

PHONE NUMBER

EMAIL ADDRESS

BUSINESS/JOB-SITE NAME

JOB-SITE'S STREET ADDRESS

JOB-SITE'S CITY

JOB-SITE'S STATE

JOB-SITE'S ZIP CODE

IS JOB-SITE OUTSIDE OF CITY LIMITS?

NoYes

SALES TAX EXEMPT?(IF SO, UPLOAD EXECUTED EXEMPTION CERTIFICATE)

NoYes

IS A PURCHASE ORDER REQUIRED BEFORE BILLING?

NoYes

How to Submit Invoice

IS BILLING ADDRESS SAME AS ABOVE JOB-SITE ADDRESS?

NoYes