WEATHER ALERT: Due to poor road and weather conditions in the Chicago regions, orders placed after 3:30PM CST may not ship the same day out of our IL distribution center. We apologize for the inconvenience and thank you for your understanding.
Prefer to fax or mail us your customer account application forms? Learn More
Prefer to fill out an online form? Learn More
You can fax your forms to the following number:(951) 273-2088
Or you can mail in your forms to the address below:
Important: Please have electronic documents ready. These include a COD Company Check (voided blank check), Copy of Credit Card, Seller's Permit, & Resale Certificate.
Documents can be scanned or phone snapshots in JPG, TIF, or PDF format.
Please complete to receive information and updates on new products, company events, promotional offers and monthly specials.
Provide the name of the Account Executive helping you.
Need to apply for a permit? Download the Form
Need to apply for a certificate? Download the Certificate.
Draw your signature:*
I certify that all of the above information on this form is correct.*
Read Carefully: I personally guarantee all debts incurred by the firm listed in Part (1) of this application form and accept full responsibility for all debts. I further agree to keep within your terms of granted open account. Should this account ever become delinquent and it be necessary to employ an attorney to collect or commence suit to enforce payment, I agree to pay a reasonable additional sum as attorney fees, and the cost of such suit. A late charge of 1-1/2% will be charged on all past due accounts. Unit credit approval can be obtained, new accounts will be shipped C.O.D. Cash or Credit Card.
Authorization to Release Credit Information*
In connection with a request for an open account with ACM Technologies, Inc., I hereby authorize you to release information to ACM Technologies, Inc. regarding credit history, checking and savings accounts and/or loan experience.