New Customer Wizard - Alura Business Solutions

Company Info. Please provide all necessary information about your company.

Company Name Business Name Phone Number Primary Phone # Fax Number Fax Phone #

Address Business Address Address 2 Suite/Location City Enter City State Select State Zip Code Enter Zip Code

Primary Contact Please provide a primary contact for your company. This contact will be the person in charge of all emails, support messages, and newletters provided by Alura.

Primary Contact Enter Full Name Title Enter Contact Title Department Enter Contact Dept. Email Enter Contact Email Phone # Enter Contact Phone Number

Secondary Contact Please provide a secondary contact for your company. This step is not required unless you would like to provide one. If you do not wish to provide one, you may click next below.

Secondary Contact Enter Full Name Title Enter Contact Title Department Enter Contact Dept. Email Enter Contact Email Phone # Enter Contact Phone Number

Note: If you have more contacts to add, you can either email our Account Management with their details or give us a call at 215-721-1122.

Billing Contact Please provide a billing contact for your company. This contact will be the person in charge of all bills and invoices provided by Alura.

Billing Contact Enter Full Name Title Enter Contact Title Department Enter Contact Dept. Email Enter Contact Email Phone # Enter Contact Phone Number

Emergency Info. Please provide emergency contacts for your company. These contacts should be people Alura can contact in the case of an emergency.

Emergency Contact 1 Enter Emergency Contact Emergency Phone Enter Emergency Phone Emergency Email Enter Emergency Email

Emergency Contact 2 Enter Emergency Contact Emergency Phone Enter Emergency Phone Emergency Email Enter Emergency Email

Additional Info. Authorized Contacts
Please provide any other employees who would be authorized to make account changes, password requests and any other account changes.

Authorized Contact Employee 1 Authorized Contact Employee 2 Authorized Contact Employee 3

Tax Code
Note: If you are tax exempt,please indicate and provide a copy of your tax exemption so we can place it on file. You can upload it or email it to our Account Management.

Tax Code Select Tax Code Tax Exempt

Tax Exempt Form Upload Tax Form