Accounts Receivable Customer Maintenance Request
1. Your Contact Information
Name
Phone
Email
2.Customer Information
Request Type
Existing Customer
New Customer
Customer Name
Short Name
Customer Level
New
Prospect
Regular
Customer Type
Internal
Local
Overseas
3. Billing Information
Billing Specialist
Contact name to appear on bills to this customer
Collector
Your business unit
Credit Analyst
Your business unit
Sales Person
Person responsible for performing a sale to this customer
Address description
For example "Main Office, NSW branch"
Address line 1
Address line 2
Address line 3
City
State
Post Code
Country
4. Customer Contacts Information
Name
Title
Address (if different to above)
Description
Address line 1
Address line 2
Address line 3
City
State
Post Code
Country
Work Phone
Work Fax
Home Phone
Mobile Phone
5. GST Information
ABN
6. Comments or Special Requirements