Corporate / Business
Join BusinessLINK
This form is all that is necessary to set up an account with us. All payment by credit card. We will invoice with terms 10 day net, but account must be credit card secured. We will bill your card only if payment is not received in the allotted time.
Please provide the following information:
Name Title Organization Address City, State,Zip Phone FAX E-mail URL Credit Card Type Select VISA MasterCard Discover AMEX Number / Expire Mo 01 02 03 04 05 06 07 08 09 10 11 12 Yr 98 99 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20
If you prefer, you can print this form and fax it to us. 516 867-7018.
In order to reduce costs and protect our customers, we track and capture fraudulent transactions and the computers from which they originated. Imprisonment for ten years and a $10,000 fine just for the attempt of credit card fraud. YOUR TRANSACTION ORIGINATED FROM THIS COMPUTER: 24.185.241.148