"*" indicates required fields

Step 1: New Customer Information

Please fill out the information below. For questions about your order, please contact your Business Interiors Sales Representative.
Name of Person Completing This Form*
Accounts Payable Contact
Billing Address*
Delivery Address*
Delivery Contact (If different from contact information)

Step 2: Terms & Conditions Agreement

By clicking "Yes" and then submitting this form you acknowledge having read and accept the following terms and conditions.
Terms and Conditions*

Step 3: Deposit Information

We accept payments via ACH, check, or credit card (Visa, Mastercard, or Discover).

To make a payment by check, please send payment to Attn: Accounting Department, Business Interiors, 2309 5th Avenue South, Birmingham , AL 35233 or ask your BI Sales Rep about sending an electronic check via ACH. To make a payment via credit card please ask your BI rep for the credit card payment link. A 2.5% fee will be added to all credit card transactions.
A minimum deposit of 50% is required at time of order placement. 100% payment at the time of order requires no credit approval.*
Are you tax exempt? If yes, please upload your Tax Exemption form.*
Drop files here or
Max. file size: 50 MB.
    I hereby certify that the information provided in this form is complete, true, and correct to the best of my knowledge.*