Create Account

1Account Details

2Credit Application

3Billing/ Shipping Details

New Customers - Enter Personal Details Below to Create an Account.
Email:*
Password:*
Confirm Password:*
Type of Organization:*
COMPANY CONTACT INFORMATION
Company Name:*
Company DBA:
Web Address:
Street Address:*
City:*
State:*
Zip Code:*
Phone:*
Fax:
FEIN Tax ID:*
Country:*
State Inc:*
Date Started:*
Tax Exempt?*
- Yes
- No
Upload W9 form.*
Max. file size: 64 MB.
Upload tax exempt certificate.*
Max. file size: 64 MB.
Business Type*
- Corporation:
- LLC:
- Partnership:
- Other:
Alternative Contact:*
Phone:*
Fax:
Email:*
Would you like credit terms?*
- Yes
- No
ACKNOWLEDGEMENT*
I understand*
In stock items may not be immediately available to ship. Products are often prepared following order receipt. Contact CIS before ordering for an estimated ship date.

SHIPPING DETAILS
Enter the name and address you would like us to ship your order to.
CIS’ preferred method of invoicing is via email. Please provide an email addres that you would like for receiving your invoices.
Invoice / Billing Email:*
Accounts Payable Contact Name:*
Phone:*
Fax:
Email:*
Invoice Billing Address:*
City:*
State:*
Zip:*
Attention:
BILLING DETAILS
Consent
Check box if Billing Information is the same as Shipping Information.
Ship To Name:*
Street Address:*
City:*
State:*
Zip:*
Receiving Contact:*
Phone:*
Fax:
Email:*
For Check Payments: (Include copy of INVOICE with Check)
4305 Saguaro Trail
Indianapolis, IN 46268

Purchases require: Corporate Purchase Order Document along with signed Master Purchase Agreement
Payment terms: Net 30 days from date of invoice (unless otherwise specified)

Company Email acknowledgement of information above (provides permission) for CIS to contact references for verification ONLY… by named corporation.
Consent*
I accept CIS terms of service and privacy policy.*
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Name
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Create An Account