FH Credit Card/Cash in Adv. Customer Setup

Credit Card / Cash in Adv. Customer Setup

Name of Person Completing Form
First Last
Email of Person Completing Form
This form is to be used when a salesperson needs a quick setup for a Credit Card ONLY or Cash in Advance customer.
Customer Payment Preference*
Company Name*
Customer Address*
Street Address Address Line 2 City State ZIP Code
Company Contact First Name*
Company Contact Last Name*
Customer Phone Number*
Customer Email Address*

E-mail where customer wants receipts, invoices, and stmts sent
Is Customer Tax Exempt?*
- Yes
- No
Upload Tax Exempt Certificate
Max. file size: 16 MB.
Primary Salesperson FACTS Sales ID*
Primary Salesperson Branch*
Notes/Comments
Name
This field is for validation purposes and should be left unchanged.

About Faulkner Haynes

For over 35 years, Faulkner Haynes & Associates have been the premier provider of commercial HVAC and IT Infrastructure Power and Cooling solutions in the Carolinas.

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Contact Info

Faulkner Haynes

3400 Yonkers Rd., Ste 110

Raleigh, NC 27604

Phone: 919.781.8840

Fax: 919.787.8765

Email: info@faulknerhaynes.com