New Client Information | Logical Systems, LLC

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Legal Name of Company(Required)

Name of person submitting this form(Required)

Email(Required)

Phone(Required)

Are you also the accounts payable contact?(Required)

Yes

Accounts Payable Contact(Required)

Email(Required)

Phone(Required)

Purchasing Contact(Required)

Email(Required)

Phone

Comments/Special Instructions

Billing Address

Street Address(Required)

Address Line 2

City(Required)

State / Province / Region / County(Required)

Zip / Postal Code(Required)

Country(Required)

Federal ID #(Required)

DUNS #

Tax Exemption

Is the work performed for your company exempt from sales and use tax?(Required)

Yes (attachment required)

Exemption Number(Required)

Certificate of Exemption Upload(Required)

Drop files here or

Max. file size: 50 MB.

You must upload a copy of your certificate of exemption if you are exempt from sales tax.

Bank Information

Name of Bank

Street Address

Address Line 2

City

State / Province / Region / County

Zip / Postal Code

Country

Bank Contact Name

Phone

Email Address

Trade Reference 1 of 3

Name of Business

Street Address

Address Line 2

City

State / Province / Region / County

Zip / Postal Code

Country

Contact Person

Phone

Email Address

Trade Reference 2 of 3

Name of Business

Street Address

Address Line 2

City

State / Province / Region / County

Zip / Postal Code

Country

Contact Person

Phone

Email Address

Trade Reference 3 of 3

Name of Business

Street Address

Address Line 2

City

State / Province / Region / County

Zip / Postal Code

Country

Contact Person

Phone

Email Address

Which LSI Branch Office are you working with?(Required)

Name of LSI contact you are working with?(Required)

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