Test B

All fields marked with * are required.

Customer Contact Information - Accounts Receivable

CORPORATE ADDRESS:

*If you answered NO, please fill out the shipping address below.

SHIPPING ADDRESS:



BILLING INFORMATION:

United Ag & Turf can deliver your statements by email and we are able to deliver to multiple email addresses. Please provide us with the email addresses for invoice and statement delivery below.

INVOICES:

STATEMENTS: