Thank you so much for your order! We’re excited to work with you to help you add industrial ergonomics to your workplace.

Please fill out this form to provide our team with the information we need to process your order (including, but not limited to: setting up payment terms, planning freight of your completed product, and making sure we have your contact information).

Once you have filled this form once, you will not need to re-fill this form for additional orders. If there is a change in information, you may re-fill the form, or contact us at Accounting@LTW1.com.

This information will not be shared with any third party or used for any purpose other than to process your order and future orders. We highly value and respect your privacy.

Fields marked with an * are required

Banking


Purchasing


Credit References


Providing credit references is optional, but required for receiving payment terms. Default payment terms for first-time new customers that provide references are 50% DP, Net 30.

Order Preferences


More


Disclaimer and Digital Signature

By entering my full name below, I certify that my answers are true and complete to the best of my knowledge. I also agree that this information may be used with this order and future orders of my organization. I understand that any changes to the information provided on this form must be communicated with LTW Ergonomic Solutions as soon as possible, either through re-filling this form or through emailing Accounting@LTW1.com.