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Company Name *
Ship-To Address *
Ship-To City *

 

If Ship-To Address is located in Texas, California, Arizona, Indiana, or Florida, sales tax will be collected.  Please attach a Tax Exempt or Resale Certificate if applicable.

Ship-To State *
County *
Ship-To Zip Code
Purchasing Contact *
Purchasing Phone # *
Purchasing Email *
A/P Contact *
A/P Phone # *
A/P Email *
Bill-To Address *
Bill-To City *
Bill-To State *
Bill-To Zip Code *

For Your Convenience TesCom accepts the following forms of payment for all expenditures under $1000: Visa, Mastercard, American Express, Discover 

 

Once the account reaches $1000 for any given calendar year, Tescom is pleased to provide the following options: Net 30 terms are provided to customers with strong credit histories (please submit trade references below) 

 

For any questions about the above terms, please contact the TesCom accounting department at 918-478-4745 or email cherylt@tescomusa.com

Trade Reference 1
Reference 1 - Company Name *
Reference 1 - Phone Number *
Reference 1 - Fax Number *
Trade Reference 2
Reference 2 - Company Name *
Reference 2 - Phone Number *
Reference 2 - Fax Number *
Trade Reference 3
Reference 3 - Company Name *
Reference 3 - Phone Number *
Reference 3 - Fax Number *
Attach copies of Tax Exempt or other forms
Your Name *
Your Title *
I Certify that the Above Information is True and Correct *