SHOES FOR CREWS® - Slip-Resistant Safety Footwear

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, fill it out manually and email back to lisas@shoesforcrews.com.

Lisa Stoller - Head of Risk Advisory Services
Phone: 1-800-218-4770 x5121
Email: lisas@shoesforcrews.com

Status:

Welcome to Shoes For Crews! We're proud to be your partner in safety.

Thank you for choosing Shoes For Crews as your partner in safety, For the account to be opened promptly and accurately, please provide the information requested on the form as outlined in the instructions.

Your Shoes For Crews Sales Representative will contact you when the form is submitted for processing.

Thanks!

Please complete and sign this form:

Primary Contact

Contact Name

Contact Phone and Extension :

Contact Email

Yes, please send me e-mails with special offers, coupons, updates and promotions from Shoes For Crews.

Accounts Payable Contact

Same as Primary Contact

Accounts Payable Name

Accounts Payable Tel/Ext :

Accounts Payable Email

Yes, please send me e-mails with special offers, coupons, updates and promotions from Shoes For Crews.

Does your company have specific billing requirements?

Billing Address

Billing Postal Code

State/Province

Billing City

Billing Address

Address 2 (Apt., Suite, etc.)

Shipping Address

* Please note that we cannot ship to a Post Office box.

Same as Billing Address

Shipping Postal Code

State/Province

Shipping City

Shipping Address

Address 2 (Apt., Suite, etc.)

Do you have any comments to add to your application?

By signing below, you acknowledge the following:

You certify all information provided is accurate and true, to the best of your knowledge.
You are authorized to establish an account for the above listed Entity.
You agree to abide by Shoes For Crews Payment terms of NET 30 DAYS.
Payment terms are NET 30 days or based on the Contract between SFC and your Entity.

REFUNDS:

Billable Customers will be issued refunds in the form of a credit to your company account. For other options, please speak with your sales rep.

REFUNDS:

Pre-Paid Customers will be issued refunds back to the credit card used to purchase the product(s).

TAX EXEMPT:

Tax exempt customers must provide a copy of their current tax exemption certificate before any orders can be placed.

Yes, I Agree to these terms.

My Name

My Title

Date

Thank you for submitting your agreement online.

Your sales representative has been notified and will inform you when the process is complete. (Lisa Stoller - Head of Risk Advisory Services)

Click here to download a copy of this online agreement for your records.

Welcome to Shoes For Crews! We're proud to be your partner in safety.

Thank you for choosing Shoes For Crews as your partner in safety, For the account to be opened promptly and accurately, please provide the information requested on the form as outlined in the instructions.

Please complete and sign this form:

Company Information

Primary Contact

Accounts Payable Contact

Billing Address

Shipping Address

By signing below, you acknowledge the following:

Thank you for submitting your agreement online.