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Adrian's Safety Solutions

Warehouse Safety and Cargo Control Products

sales@adrianssafetysolutions.com

1-866-423-3638

or 1-865-229-8700

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Home
Warehouse Safety Solutions
Bednet® Cargo Control
Freight Saver
Store
About
Contact Us
Blog

You are here: Home / New Customer Setup

New Customer Setup

At Adrian’s Safety Solutions our goal is to provide you an amazing customer experience. We want to help you find the right product or products to fit your need. All of our products are backed by our Limited Lifetime Warranty.

In order to serve you properly and provide an exceptional customer experience, we need to gather some information to set your company up in our system. Please complete the New Customer Setup form below or contact us at sales@adrianssafetysolutions.com or 1-866-423-3638 with questions. Once we have received the form, a member of our Sales and Customer Service team will contact you to complete the process.

We also require a method of payment and/or credit history information to establish payment terms. In order to keep your information secure, we will request this information offline. Please do not send credit card or banking information via email.

Billing note: Adrian’s, Inc. is the parent company of Adrian’s Safety Solutions. All credit card charges will appear from Adrian’s, Inc. Invoices will come branded with Adrian’s, Inc.

Customer Account Setup Form

Complete the form below and we will contact you for the next steps. We look forward to working with you!

Step 1 of 6

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Business Information
Legal Company Name*
Trade Name (dba)
Div/Subsidiary of
Years in Business*
Business Type*
Name(s) of Principals/Owners (if applicabale)

Primary Contact Information
Name*
First Last
Title*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Fax
Email*
Enter Email Confirm Email

Purchasing Contact Information
Is purchasing contact same as primary contact above?*
- Yes
- No
If there is a different purchasing contact than the primary contact, please list their information in the fields below.
Purchasing Contact Name (if different from primary contact)
First Last
Title
Phone
Fax
Email
Enter Email Confirm Email

Billing Address and Preferences
NOTE: We are registered to collect tax only in the state of Tennessee. If purchases will be exempt, please fax us the applicable form in its newest revision to 1-865-522-5824.
Customer Preferred Billing Method*
- Invoice Net 30
- One-time use credit card
- Credit card on file
- ACH
- Wire transfer
IF choosing Invoice Net 30: Customers approved for credit are subject to terms of Net 30. IF choosing credit card: Credit card customers are charged when the order is shipped (note: authorization may occur before processing).
Is billing address the same as primary contact address info above?*
- Yes
- No
If there is a different billing address than the primary contact, please list that information in the fields below.
Billing Address (if different from primary contact)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Will you have mulitple billing locations?*
Please let us know if your company has decentralized billing and each shipping location pays for their own order. For purposes of this form please complete the primary or the first billing information. A member of our team will contact you to gather the additional information.
- Yes
- No
Is Accounts Payable (A/P) contact the same as primary contact above?*
- Yes
- No
Accounts Payable (A/P) Contact (if different from primary contact)
First Last
A/P Contact Phone
A/P Contact Fax
A/P Contact Email
Enter Email Confirm Email
Customer PO# Required?*
- Yes
- No

Shipping Address and Details
Will you have mulitple ship to locations?*
If we will be drop-shipping your orders
- Yes
- No
Shipping Address 1 (if different from primary contact's address - no PO Box)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Do not complete this section if we will be drop shipping for you.
Contact Phone for Shipping Address 1 (if different from primary contact)
Is the business shipping address a residence?*
- Yes
- No
Is a loading dock available at business shipping address?*
- Yes
- No
Canadian Shipments
Skip section if not applicable.
Canadian Shipments: Do you have a broker you wish to use?
- Yes (list broker info below)
- No (let us know and we can arrange this on your behalf)
Broker Name
First Last
Broker Phone
Broker Email

Products
Which product lines do you wish to purchase? (check all that apply)*
- Bednet® Cargo Control
- Freight Saver
- Adrian's Rack Safety Solutions
Your Name and Email
Name of Person Completing this Form*
First Last
Your Email*
Enter Email Confirm Email
Captcha
Comments
This field is for validation purposes and should be left unchanged.

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Adrian’s Safety Solutions

At Adrian’s Safety Solutions, our primary objective is to offer products that allow for a safer workplace environment at a reasonable price. Our three product lines include Adrian’s Warehouse Safety Solution, Bednet^® Cargo Control Solutions, and Freight Saver Shipping & Driver Safety Solutions.

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FAQs
Limited Lifetime Warranty
New Customer Setup
Contact

Contact Us

PH: (866) 423-3638
Local PH: (865) 229-8700
FAX: sales@adrianssafetysolutions.com

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