the choice of the professional restyler

New Customer Registration

* If you do not wish to submit your bank information for COD verification or credit card as your method of payment, please ask for the account manager listed at the top of the form or any other account manager available at 800-733-3316 to provide that information.

Customer Information Background (providing all information will expedite)
Business Name: Account Manager:
City: State: Zip:
Phone: Tax ID Number:
Date Est. Email:
Default Contact Information
Contact First Name: Contact Phone:
Contact Last: Contact Email:
Accounts Payable Contact Information
AP Contact First: AP Contact Last:
AP Contact Phone: AP Contact Email:
Business Type (check all of the following that apply)
Retail Shop
Audio Store
Car Wash
Mobile Installer
Sign Shop
Auto Parts Store
Car Dealership
Custom Shop
Window Tint
Marine/Boat Supply
Body Shop
Products Used (check all of the following that apply)
Paint Protection
I Want to use a COD basis (please choose one)
COD Type: Bank:
Location: Acct. Num:
Bank Phone: Bank Contact:
 I authorize Restylers Choice to contact my bank for account info.
I Want to use Credit Card (avoids COD fees)
After submitting the form, please contact us toll free at 1-800-733-3316 to supply your CC details.
Authorization to release information (must agree to terms)

All of the information herin is correct to my best of knowledge. I authorize any business or person named herein to furnish information concering my affairs to Restyler's Choice LLC. Restyler's Choice LLC's trade terms include interest on past due accounts at the maximum legal rate. I have read, understand and agree to the attached terms and conditions. By choosing credit card terms, I authorize Restyler's Choice LLC to charge my card above for purchases of goods and services placed by phone, fax, internet or email.

 I agree to the terms