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Solutions
Cloud
Datacenter Infrastructure
DevOps & Automation
Modern Workspace
Success Portfolio
About Us
Partners
Jobs
Resources
Resources
News
Blog
Contact Us
New Customer Application
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GENERAL INFORMATION
Date of Application
Legal Name of Business
*
Doing Business As
Corporate Address
*
Address Line 1
Address Line 2
City
— Select state —
Alabama
Alaska
Arizona
Arkansas
California
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Connecticut
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District of Columbia
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Iowa
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Louisiana
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Maryland
Massachusetts
Michigan
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New Hampshire
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New Mexico
New York
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Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
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Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone #
*
Fax #
Website / URL
*
Type of Business
*
C Corp
S Corp
Partnership
Proprietor
FEIN#
*
Date Of Incorporation
*
State of Incorporation
*
Number of Years in Business
*
Dun & Bradstreet #
BILLING INFORMATION
Company Name
Billing Address
Address Line 1
Address Line 2
City
— Select state —
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
A/P Contact Name
*
First
Last
A/P Phone #
A/P Fax #
A/P Email
*
F3 Technology Partners, LLC utilizes secure email for electronic delivery of invoices. please enter an email address for invoice.
Preferred Payment Method
*
Check
ACH/EFT
SALES TAX EXEMPTION NOTIFICATION
Tax Exempt
*
Yes
No
Tax Exemption #
Please provide a copy of the tax exemption certification FOR ALL APPLICABLE STATES to ensure proper invoicing
Upload State Exemption Certifications
Click or drag a file to this area to upload.
AGREEMENTS & TERMS
Does your company have a standard MSA?
*
Yes
No
Please provide your MSA for review & mutual execution to establish all terms.
Upload Your MSA
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We will provide our agreement for review & mutual execution to establish all terms
What other agreements are required by your company for this relationship (check all that apply)
NDA (non-disclosure agreement)
PSA (professional services agreement)
Other
Other agreement(s)
Submit
