Confidential
ACS Customer Trade Application

We are pleased you have chosen to do business with Advanced Composite Specialties. In order to open an account with us, please submit us the following information. All information is confidential and is strictly used to open your account. If you require any additional information, please do not hesitate to contact us.

Company name:
Contact name:
Nature of business:
Present address:
City:
State:
Zip Code:
Telephone number:
Fax number:
Email:
IRS#:
Federal sales tax:
Billing Address:
Type of business:
 Proprietorship Partnership Corporation
Do you have a store front:
 yes no
Do you offer installation:
 yes no
Do you have an online store:
 yes no
Website:
Name of Principals:


Address:


Position:


4 Major Automotive Suppliers:



Telephone:



Fax:



The undersigned hereby consents to ACS conducting or causing to be conducting such investigation of the applicant as it may from time to time deem necessary with respect to ACS granting jobber status to the applicant.
Date:
Authorized by:


Attach a copy of your business license:

Attach a copy of your sales tax exemption form: