Customer Application

Sign Up for a Steren Solutions Business Account. Get Preferred Pricing, special offers and more advantages with a Steren Solutions Business Account.

Just enter your information below. Your application will be processed within 24-48 business hours. If approved you will receive a “Welcome To Steren Solutions” email confirming your account .

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General Information

Company Name*

Bill To Company Name(dba):

BILL TO Address*

Street Address

Address Line 2

City

State

Zip Code / Postal Code

Country

Accounting Contact

First Name

Last Name

Purchasing Contact

First Name

Last Name

SHIP TO same as BILL TO*
YesNo

SHIP TO Address

Street Address

Address Line 2

City

State

Zip Code / Postal Code

Country

Residential Location?*
YesNo

Resale Tax Certificate Number

Must attach a copy of the resell certificate below, if a certificate number is entered here. If a copy is not attached you will be charged tax.

Resale Tax Certificate

Required if the tax certificate number was entered in the field above.

Download Resale Tax Certificate Template

Email *

Office Number *

Cell Number

Fax Number

Customer Application

General Information

BILL TO Address*

Accounting Contact

Purchasing Contact

SHIP TO Address

Company Information

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