New Customer Information Form

Company

First name

Last name

Phone

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Commercial

Residential

Delivery Location same as the company address?

Yes

* If the answer is no please note the shipping address

Select an Address

Forklift on-site

Yes

Purchasing Agent

Purchasing Agent Name

Phone - Purchasing Agent

Email - Purchasing Agent

Additional Contact:

Additional Contact Name

Phone - Additional Contact

Email - Additional Contact

Required Documents

Owner's Drivers License

Business license

Upload File

Sales Tax Exempt (if using)

Upload File

Payment Terms

Payable on receipt - We accept Check, money order, cashier’s check and credit card (if using a credit/debit card there is a 3.25% card use fee add to the amount of the order).
Note: First- time orders must pre-pay before delivery and must pay by cashier’s check or credit card (if using a credit/debit card there is a 3.25% card use fee added to the amount of the order).

I agree to the terms & conditions

Understand Terms and Conditions:

Your Signature

Thank you! We’ll be in touch.

Prestigic Fence Products

"Exceptional Service is our signature."

YOUR FENCE PROFESSIONALS

Service Area - Florida Panhandle to North Indiana