New Customer Information Form

Thank you for your interest in setting up an account with Shearer! In order to best serve you, we need some information about you and your business. Below you’ll find all the appropriate forms. Please fill out the applicable form(s) and email them to our accounting department at kcain@shearerpos.com.

Business Name

What is the registered name of your business?

Address

Billing address for your company.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Contact Name

First and Last name of contact person.

First Name

Last Name

Phone

Business telephone number

(###)

###

####

Email

Contact person email address

Message

Credit Questions

Check the box to answer 'Yes' leave blank for 'No.'

Are you an Indiana customer?

Are you sales tax exempt?

If tax exempt, have you provided form ST-105 (tax exempt certificate)?

Have you completed our credit application for net 30 terms?

Have you completed our credit card authorization form?

Do you want us to automatically charge your card and email the payment receipt with a copy of the invoice?

How would you prefer to receive your invoices?

Select Either US Postal Mail or Email

Additional forms and paperwork.

Thank you for your interest in setting up an account with Shearer! Below you’ll find some additional forms that may pertain to your organization or company. Please fill out the applicable form(s) and email them to our accounting department at kcain@shearerpos.com.