NEW CORPORATE ACCOUNT INFO

Disclaimer: Please “REPLY” to this e-mail with the below fields filled in. ALL fields are required in order to set-up a new account. Please note that all first time orders and overseas orders will require pre-payment up front. A Credit Card Authorization Form and pre-payment instructions will be sent after the order is placed. A Credit Application will also be sent so that all future orders can be placed on NET terms. If you have any questions please contact your MRL Sales Representative or e-mail accounting at accounting@themrlgroup.com .

GENERAL INFO
 
COMPANY NAME: *
BILLING ADDRESS: *
SHIPPING ADDRESS: *
 

PRIMARY CONTACT INFO
 
CONTACT NAME: *
CONTACT POSITION: *
CONTACT PHONE: *
CONTACT EMAIL: *
 

SECONDARY CONTACT INFO
 
CONTACT NAME:
CONTACT POSITION:
CONTACT PHONE:
CONTACT EMAIL:
 

CONTACT RESPONSIBLE FOR PAYMENT
 
CONTACT NAME:
CONTACT POSITION:
CONTACT PHONE:
CONTACT E-MAIL: