Customer Account Update

Name (as appears on W-9) *

Business Name/dba (if different from above)

Verification - W-9 *

Click or drag files to this area to upload. You can upload up to 2 files.

Upload a copy of W-9

Verification - Resale/Sales Tax Exemption Certificate *

Click or drag files to this area to upload. You can upload up to 10 files.

Upload a copy of a properly executed Resale Certificate or Sales Tax Exemption Certificate for all ship to states

Principal Business Address (Please no PO Boxes) *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Principal Business Telephone

Principal Business Fax

Is the above address also the Mailing Address? *

Yes, please use the Principal Business Address for all physical correspondence
No, please use the following Business Mailing Address

Business Mailing Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Website *

Save and Resume Later

Primary Purchasing Contact Name *

First

Last

Primary Purchasing Contact Address *

Primary Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Primary Purchasing Contact Telephone

Primary Purchasing Contact Fax

Primary Purchasing Contact Email

I allow my email address to be used for Lumaco News & Events announcements *

Yes, please add my email to your mailing list for important announcements such as price changes
No, please do not add my email to your mailing list

Save and Resume Later

Do you have a Secondary Purchasing Contact that you would like to include? *

Yes, please add the Secondary Purchasing Contact below
No, please use only the Primary Purchasing Contact

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Save and Resume Later

Customer Billing Information

Accounts Payable Contact Name *

First

Last

Accounts Payable Contact Phone *

Accounts Payable Contact Email *

Preferred invoicing method (choose one) *

Email
Fax
Mail

Please provide the billing address where paper invoices should be sent *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Save and Resume Later

Lumaco News & Events will also be posted on our website at https://www.lumaco.com/news-events/

Lumaco News & Events will also be posted on our website at https://www.lumaco.com/news-events/

Customer Billing Information

Lumaco Customer Appreciation