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New Customer Packet

Fill out New Customer form below.

Credit Application Form
Tax Exempt Form

NEW CUSTOMER FORM

Please complete the following form to assist Applied Thermal Technologies in setting up your account.
Please make sure all information is up to date.

New Customer Form

Company Info

Address(Required)

Contact Info

Main Contact Person

Accounting Info

Accounting Contact Person

Quality Info

Quality Contact Person

Shipping Info

Shipping Contact Person
Applied Thermal Technologies prefers using UPS.
* Please keep in mind that UPS and FedEx only offer $100 for damaged or lost packages. Companies may want to consider adding insurance during shipping.
If you like to be added to a daily email showing shipping status of orders processed by Applied Thermal Technologies in the previous 96 hours list the appropriate persons email below.

If you would like to have access to our website to be able to print certifications from all orders processed by Applied Thermal Technologies for your company, please list the appropriate persons name and email below.

Certifications Access Name
How would you like to receive your invoices?(Required)
What is the required acceptable method of formal communication?(Required)
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Accepted file types: txt, rtf, pdf, doc, docx, ppt, pptx, xls, xlsx, Max. file size: 2 MB.
Accepted file types: jpg, jpeg, png, txt, rtf, pdf, doc, docx, ppt, pptx, xls, xlsx, Max. file size: 2 MB.
Accepted file types: txt, rtf, pdf, doc, docx, ppt, pptx, xls, xlsx, Max. file size: 2 MB.

Bank Information

Bank Address

Accounts/Credit References

Form ST-105 is Revised 3-84 Indiana Department of Revenue, General Sales Tax Exemption Certificate.

This form is not to be used as an Agriculture of Utility Exemption Certificate.
Company Exemption Certificates are not valid for personal purchases.

Name
MM slash DD slash YYYY
Address
Choose Option
Note: Many purchases for Not-for-Profit Organizations are subject to Sales Tax: therefore, purchasers are cautioned to read Sales Tax Bulletin #10 before signing this certificate.