New Customer Form We look forward to working with you! We just need a few details from you to get setup in our system. URLThis field is for validation purposes and should be left unchanged.Company Name(Required)Main Contact Name(Required) First Last Main Contact Email(Required) Main Contact Phone(Required)Company Shipping Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Billing Contact NameIf different than above. First Last Billing Contact EmailIf different than above. Billing Contact PhoneIf different than above.Any special shipping instructions or additional comments.Do you need liftgate at delivery?(Required) Yes No Do you need the malt milled?(Required) Yes No Orders Received(Required)Orders received are shipped the following business day, however if orders are received before 11:00 AM CST they are usually processed the same day if time allows. If milling is required please allow up to 5 days lead time. Typically, we have products ready to ship that are milled as we keep a fresh but small inventory of milled products on hand. Forecasting milled needs helps us make sure we have you covered for quick shipments. Acknowledge Payment Terms: Net 15 Days(Required)Payment options include sending a check to us directly, sending an ACH payment, or setting up auto pay via ACH. Checks can be sent to: 16165 Industrial Park Drive, Menoken, ND 58558 ACH Information is provided on our invoices. Quickbooks offers ACH payment but to avoid a fee you can setup ACH directly with your bank to ours. Credit Cards may be accepted but come with an added credit card fee. All billing questions can be directed to billing@twotrackmalting.com or you can reach out directly to us at 701-595-3388. By acknowledging below you agree that payment terms are Net 15 days from the invoice date. Acknowledge
