In order to open your account, please provide the information below as completely as possible.  If you need assistance, please contact your nearest Customer Service Center.    You may submit this information electronically, or print and fax the completed form to 832-813-4440.   

Also, your sales tax information should be faxed to 832-813-4440 at your earliest convenience.  If you do not provide your state sales tax exemption number or certificate, the appropriate tax will be applied to your billing invoice.

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Bill-To Customer Information     Company Name *     Address (line 1)     Address (line 2)     City     State     Postal Code     Country       Contact Name *     Telephone *     Fax     E-Mail   Ship-To Customer Information     Company Name     Address (line 1)     Address (line 2)     City     State     Postal Code     Country     Contact Name     Telephone     Fax     E-Mail Payer Information Is Payer different than Bill-To? Yes No Is business located within the city limits? Yes No     Payer Name     Address (line 1)     Address (line 2)     City     State     Postal Code     Country     County Account Maintenance Information If you require material certifications, please provide contact name and fax number.  Certifications are faxed one day after the actual shipping date.       Contact Name     Fax Special Shipping Instructions Company Specific Part Numbers:       Ryton®PPS Material:     Your Part/Reference Number Other Special Handling or Requests Material Packaging Preference Select One 25 kg Bags Gaylords Octabins Supersacks (Powders only) Shipping Terms Quantities of 500 kg and above will be shipped to your destination at our expense.   Invoicing, POA, and Terms of Payment Invoices are faxed at 8:00 PM CST on the day of business transaction.  Purchase order acknowledgements are faxed at 8:00 PM on teh day of business transaction but not more than 30 days before rquested ship date.   Specific POA terms are detailed on teh POA.  Terms of payment are net 30 days, subject to credit approval.   Please select the Customer Service Center nearest to you Select One North/South America Hong Kong/China Japan South Asia Europe/Africa At Chevron Phillips we value your privacy, and we have taken steps to ensure that the information you submit remains private.