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New Customer Form

Company Information
Billing Contact
Buyer/Sales Contact

Lakota Products is required to charge sales tax to all customers unless there is a valid and signed exemption or resale certificate on file. If applicable, please attach a signed copy of your exemption or resale certificate to this form below.

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Payment Terms

Lakota Products can extend Net 30 payment terms to  credit eligible customers. In order to be considered for payment terms, you must select a credit option below and submit three credit references by filling out the credit reference section of this form. New customers requesting a credit limit exceeding $5,000 must also attach a copy of their most recent fiscal year financial statements. All customers without approved payment terms or payment terms pending approval, are required to pay for goods prior to shipment.

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Customer Type
Sign & Submit

Thank you for submitting your New Customer form. Your account representative will contact you shortly to assist you with your order

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