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OilQuick USA is now OilQuick Americas

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Our Products
- Used Equipment
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Menu

Our Products
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Product Support
About Us
- Blog
Authorized Dealers

New Customer Form

New Customer Information Request Form

Welcome to OilQuick Americas!

We’ve created this form to make placing orders and receiving invoices easy for you and a simple process for us.

Please take a moment to complete all the fields to help us collect the information we need.

Have questions about the form? Contact our team.

A problem was detected in the following Form. Submitting it could result in errors. Please contact the site administrator.

Billing Company Name

Billing Company Address

Billing Company City

Billing Company State

Billing Company Zip

Billing Company Country

Billing Company Phone

Billing Company Fax

A/P Contact First Name

A/P Contact Last Name

A/P Contact Email

A/P Contact Phone

Ship to Company Name

Ship to Company Address

Ship to Company City

Ship to Company State

Ship Company Zip

Ship to Company Country

Ship to Company Phone

Ship to Company Fax

Ship to Contact First Name

Ship to Contact Last Name

Ship to Contact Email

Ship to Contact Phone

Do you have multiple ship-to locations?

Yes No Unsure

How many additional shipping addresses?

1 2 3 4 5

Ship to Company 2 Name

Ship to Company 2 Address

Company 2 City

Company 2 State

Company 2 Zip

Company 2 Country

Ship to Company 3 Name

Ship to Company 3 Address

Company 3 City

Company 3 State

Company 3 Zip

Company 3 Country

Ship to Company 4 Name

Ship to Company 4 Address

Company 4 City

Company 4 State

Company 4 Zip

Company 4 Country

Ship to Company 5 Name

Ship to Company 5 Address

Company 5 City

Company 5 State

Company 5 Zip

Company 5 Country

Ship to Company 6 Name

Ship to Company 6 Address

Company 6 City

Company 6 State

Company 6 Zip

Company 6 Country

Is a PO Number required for orders placed by your business?

Yes No

If yes, should orders be held until the PO number has been received?

Yes No

Tax Status:

IMPORTANT: If your business is tax exempt or resale, exemption or resale certificate(s) that cover each ship-to location must be provided. If you have multiple locations, it may be easiest to send a multijurisdictional certificate listing all locations. Please note that we are required to charge the appropriate state's sales tax in states we are registered unless a copy of these certificates has been received prior to invoicing.

Are you outside of the United Sates?

Yes No

Customers outside of the United States, need to provide broker Information

Broker Contact Name

Company's Account Number

Broker Address

Broker City, State, Postal Code, Country

From Completed by:

Title

Your Email Address

Date Completed

We are so happy you have joined us and look forward to working with you!

OilQuickUSA is now OilQuickAmericas.

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262-60-QUICK (262-607-8425)

155 Main Street
Superior, WI 54880

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© OilQuick Americas 2023

OilQuickAmericas is a joint venture with OilQuick AB and Exodus Global.

Exodus Global is a family-owned company in Superior, WI

Connect Work Tools and ShearCore are authorized manufacturing partners of OilQuickAmericas

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