Forms & Requests

Allied Eagle Supply

Customer Request

* Indicates required questions
How can we help you? *
I need a Safety Data Sheet
Sign me up to receive Invoices by Email
I need to reset my CSS online ordering password
Name *
First
Last
Phone # *
Company Name *
Email *
Preferred Method of Contact *
Phone Email
Please list the SDS sheets you require
New Password
Your password must be between 6-12 characters, have a capital letter, and contain a number. For your safety, please do not use a password that you use for other accounts!

Did you know that you can also retrieve Invoices and Safety Data Sheets online by logging in to your account using our CSS Online Ordering system? Click Here to login. If you need to register for Online Ordering access, please Click Here.

Welcome to Allied Eagle!

* Indicates required questions
Please fill out this customer setup form so that we can best serve you. Thank you.

General Information

Name of Person completing this Form*
First
Last
Email of person completing this Form*
Name of Allied Sales Representative

Billing Information

Company Name*
Address *
City *
State *
Zip *
Phone *

Shipping Information

For multiple shipping addresses, please email all additional shipping locations and persons of contact information to newacct@alliedeagle.com.

Ship to Name *
Address *
City *
State *
Zip *
Phone *
Any specific delivery instructions
Name & Phone# to POC for deliveries
Specific door/dock for receiving
Receiving Hours
Type of Business/Industry
(Example: Hospital, School, Contract Cleaner, etc.)
We prefer to have our original invoices *
E-mailed to this email:
Faxed to the following number:
We prefer the following *
A revolving account be set up for Net 30 day term*
To pay invoices immediately by Credit Card**
To pay for each order at time of delivery (COD)

*Requires you to complete and return the “Revolving Account Agreement.” Acceptable payment for invoices on account is EFT, Check or Cash. Credit Card payments on revolving accounts may incur a 2.5% fee. Please send completed form to newacct@alliedeagle.com.
**Requires you to complete and return the “Credit Card Authorization Form (CCAF).” Please send completed form to newacct@alliedeagle.com.

Does your company require purchase orders *
Yes No
Sales Tax Status *
Taxable Nontaxable
Sales Tax County

If nontaxable, please complete the applicable tax form and send it back to us at newacct@alliedeagle.com.
Michigan Tax Exempt Form
Ohio Tax Exempt Form

Person(s) authorized to purchase

Contacts

AP Contact

Email order confirmation *
Yes No
Name *
Title *
Email *
Phone *

Delivery Contact

Email order confirmation
Yes No
Name
Title
Email
Phone

Purchasing Contact

Email order confirmation
Yes No
Name
Title
Email
Phone

Other Contact

Email order confirmation
Yes No
Name
Title
Email
Phone

Credit Card Authorization Form

Download PDF

CSA - Customer Set Up & Agreement Form

Download PDF

Ohio Tax Exempt Form

Download PDF

Michigan Tax Exempt Form

Download PDF

Will Call Form

Download PDF

Revolving Account Agreement

Download PDF

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