New Customer

This form only needs to be completed if you have never ordered from Apex before. All previously created customer accounts have been transferred.
Company*
Company Owner*
Contact Person*
Email*
Phone Number*
Address*
Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code
Shipping Address (if different than above)
Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code
Business Type*
- Screen Printing
- Heat Press
- Embroidery
- Ad Specialty
- Other
Other
Accounts Payable Contact*
Accounts Payable Email*
Card Type*
Name on Card*
Last 4 Digits on Card*

We will call for full credit card number after receiving this form.
Expiration Date*
CVC*
Zip Code*
CAPTCHA
Electronic Signature Agreement*
First Last
You are signing this agreement electronically. You agree your electronic signature is the legal equivalent of your manual/handwritten signature on this Agreement. By signing using any device, means or action, you consent to the legally binding terms and conditions of this Agreement. You further agree that your signature on this document (hereafter referred to as your "E-Signature") is as valid as if you signed the document in writing. You also agree that no certification authority or other third party verification is necessary to validate your E-Signature, and that the lack of such certification or third party verification will not in any way affect the enforce-ability of your E-Signature or any resulting agreement between you and Apex.*
I agree to the policy.
You are signing this agreement electronically. You agree your electronic signature is the legal equivalent of your manual/handwritten signature on this Agreement. By signing using any device, means or action, you consent to the legally binding terms and conditions of this Agreement. You further agree that your signature on this document (hereafter referred to as your "E-Signature") is as valid as if you signed the document in writing. You also agree that no certification authority or other third party verification is necessary to validate your E-Signature, and that the lack of such certification or third party verification will not in any way affect the enforce-ability of your E-Signature or any resulting agreement between you and Apex.

This form only needs to be completed if you have never ordered from Apex before. All previously created customer accounts have been transferred.