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Friday, May 09, 2008
On Line Services Request Form
Customer #:
Customer Name:
User Name:
Email Address:
Fax Number:
Services Requested
(Please check off all services you would like.)
View AR Statements
View Orders
View Invoices
Enter Order on Line
Document Delivery
Invoices:
Standard Mail Only
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Standard Mail and Email
Standard Mail and Fax
Statements:
Standard Mail Only
Email Only
Fax Only
Standard Mail and Email
Standard Mail and Fax
Other
I would like to set up multiple users with separate access codes, please contact me
US Airconditioning Distributors
• 16900 Chestnut Street • City of Industry • CA • 91748
Ph: 800-937-7222 • Fax: 626-854-4550 • Email:
info@us-ac.com
