Accounts Payable

"*" indicates required fields

Step 1 of 3

33%

Company Basics

Company Name*

Phone*

Billing Address*

Street Address Address Line 2 City State ZIP Code

Do you receive mail at your billing address?*

Yes

Shipping Address (Where We'll Send Mail)*

Street Address Address Line 2 City State ZIP Code

Your Accounts Payable Department

Who will be our Accounts Payable contact at your company?

Contact Name*

First Last

Title*

Phone*

Email*

Enter Email Confirm Email

Final Authorizations

Tax Exempt*

Yes

If yes, please attached a copy of the Tax Exemption Certificate

Max. file size: 50 MB.

ACH Authorization

Thank you for providing your ACH and Credit Card information upon agreement signature. Please complete this ACH authorization form allowing us to electronically debit your account for service fees going forward. This information is kept strictly confidential, and you will be notified in advance before any future recurring debit takes place.

ACH Consent*

I hereby authorize 20Twenty Design to debit my account in the dollar amount specified in my contract on a monthly basis.

I understand this authority is to remain in full force and effect until I notify 20Twenty Design in writing to cancel it in such time as to afford 20Twenty Design a reasonable opportunity to act. I have the right to stop payment of an automatic payment by notification to 20Twenty Design (5) business days before my account is to be charged. I further agree that any payments returned NSF or unpaid shall be subject to a return fee of $25.00 and that my account may be electronically debited to recover both the returned payment and the return fee.

E-Signature (please type your name)*

By typing your name into the provided input field, you acknowledge and agree that this action constitutes a legal signature. You affirm that the information provided is accurate and authentic, and you understand that this electronic signature holds the same legal validity as a handwritten signature.

Date*

Comments

This field is for validation purposes and should be left unchanged.