Contact information update form:

Please fill out the following form to help Adaptall update its customer contact information, as well as implement environmentally friendly document transfer practices. We are moving away from posted mail to fax and email for A/P documents (invoices, statements, etc).

You will need your customer number in order for this to process. Your customer number can be found in the upper right hand side of your Adaptall invoice in the format of ABC123 (see example).

Thank you for your helping Adaptall go GREEN!

Account/Contact Info  
Customer Number:
i.e. ABC123 Where do I find this?
Your Name:
(First) (Last)
Your Email:
Billing Address
Company Name:
Address:
 
City:
State/Province:
Zip/Postal Code:
Type of address:
General
General Telephone:
( ) - -
General Fax:
( ) - -
General E-mail:
Company Web site:
Hydraulic distributor your company represents:
Name of distributor:
Shipping Preferences:
Contact Names
i.e. John Doe (first name then last name)
President:
(20 characters max)
General Manager:
Sales Manager:
Purchasing Manager:
Accounts Payable:
Sales Counter:
Document Transfer Preferences
*Accounting* related documents(i.e. Invoices, monthly statements, trial balances)
Please send accounting related documents to me via:


Email Address to send to:
If you would like to be notified of special offers, giveaways, and contests, please provide the email address of the person in charge of purchasing for your company (i.e. purchasing manager).
Email address of person who's responsible for purchasing:
Comments:
Please enter the
verification text shown
in the box to the right:
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