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Customer Information Form


Best contact during set up.


Company Information

Please complete the following company information. This would reflect the information on your IRS W-9 form (or similar government documentation).

Do you use a separate "Bill to" or "Accounts Payable" company address?

If the address is the same as your Company Address above, select "No".
If you want your invoices mailed to a different address, select "Yes".
This is the email we will use to electronically send you your invoices.

Do you have a "Parent Company"?


Thank you for completing our Customer Information Form.

Please read and sign below, then click submit.
Signature
A Customer Service Representative will be in touch to collect your payment information.
We look forward to working with you!

ClassicPlus is a Matrix Imaging Solutions Company