{"id":3670,"date":"2022-12-15T13:50:34","date_gmt":"2022-12-15T19:50:34","guid":{"rendered":"https:\/\/bemedsupply.com\/?page_id=3670"},"modified":"2024-01-17T11:18:34","modified_gmt":"2024-01-17T17:18:34","slug":"new-customer-forms","status":"publish","type":"page","link":"https:\/\/bemedsupply.com\/?page_id=3670","title":{"rendered":"New Customer Forms"},"content":{"rendered":"\n\t<div id=\"gap-174400642\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-174400642 {\n  padding-top: 20px;\n}\n<\/style>\n\t<\/div>\n\t\n\n<div class=\"row\"  id=\"row-1042142495\">\n\n\n\t<div id=\"col-1732089538\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n<div class=\"row row-collapse\"  id=\"row-2141694820\">\n\n\n\t<div id=\"col-223273406\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n\t<div id=\"text-352959827\" class=\"text\">\n\t\t\n\n<p>We are committed to maintaining up-to-date and accurate information for all our valued customers. To ensure seamless service and transactions, we require the following:<\/p>\n<ol>\n<li>\n<p><strong>New Customer Information Verification<\/strong>: If you&#8217;re a new customer, please complete the necessary forms to verify your details, such as Email, Shipping\/Billing addresses, and points of contact. This step is crucial to start our journey together.<\/p>\n<\/li>\n<li>\n<p><strong>Annual Update for Existing Customers<\/strong>: Already part of the BeMedSupply family? Great! Please remember to update your information annually or whenever there are changes in your company&#8217;s Shipping\/Billing addresses or credit card details on file. Keeping your information current helps us serve you better.<\/p>\n<\/li>\n<li>\n<p><strong>Medical Authorization Renewal<\/strong>: It&#8217;s essential to renew your Medical Authorization form annually. This update ensures we have the most recent and relevant information about your company, enabling us to comply with regulatory standards and serve your needs effectively.<\/p>\n<\/li>\n<\/ol>\n<p>Download the forms below and return them at your earliest convenience. Your cooperation is vital in helping us provide the best service possible.<\/p>\n<p>Thank you for choosing BeMedSupply for your medical supply needs!<\/p>\n\t\t\n<style>\n#text-352959827 {\n  font-size: 1rem;\n}\n<\/style>\n\t<\/div>\n\t\n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n<\/div>\n<a href=\"https:\/\/drive.google.com\/file\/d\/1A-trCsXQYDT3gVc31oWkl464uZIgn64p\/view?usp=drive_link\" target=\"_blank\" class=\"button primary is-outline is-larger box-shadow-3-hover expand\" rel=\"noopener\" style=\"border-radius:10px;\">\n\t\t<span>New Customer Information Form<\/span>\n\t<\/a>\n\n\n\t<div id=\"text-600955684\" class=\"text\">\n\t\t\n\n<p>This form gives us the required details needed to open an account with us.&nbsp; This will tell us who to contact, where to ship, and other important information we may need to effectively service your company to the best of our ability.<\/p>\n\t\t\n<style>\n#text-600955684 {\n  font-size: 1rem;\n  text-align: center;\n}\n<\/style>\n\t<\/div>\n\t\n<a href=\"https:\/\/drive.google.com\/file\/d\/1hi-l3TyIxRTmw-rcBn5fH0M50_ny5D3L\/view?usp=drive_link\" target=\"_blank\" class=\"button primary is-outline is-larger box-shadow-3-hover expand\" rel=\"noopener\" style=\"border-radius:10px;\">\n\t\t<span>Medical Authorization Form<\/span>\n\t<\/a>\n\n\n\t<div id=\"text-1382812434\" class=\"text\">\n\t\t\n\n<p>In order to sell and ship certain medical products and devices, such as pharmaceuticals and IV Catheters, we require a verified Medical Authorization Form on file.<\/p>\n\t\t\n<style>\n#text-1382812434 {\n  font-size: 1rem;\n  text-align: center;\n}\n<\/style>\n\t<\/div>\n\t\n<a href=\"https:\/\/drive.google.com\/file\/d\/1ye9Wt_MxLOm55HcGgRhAaoywPGHj-xtY\/view?usp=drive_link\" target=\"_blank\" class=\"button primary is-outline is-larger box-shadow-3-hover expand\" rel=\"noopener\" style=\"border-radius:10px;\">\n\t\t<span>Credit Card Authorization Form<\/span>\n\t<\/a>\n\n\n\t<div id=\"text-3770343711\" class=\"text\">\n\t\t\n\n<p>This form is required for any account with the preferred payment method by Credit Card<\/p>\n\t\t\n<style>\n#text-3770343711 {\n  font-size: 1rem;\n  text-align: center;\n}\n<\/style>\n\t<\/div>\n\t\n<div class=\"row row-collapse align-equal\"  id=\"row-2006048247\">\n\n\n\t<div id=\"col-595621449\" class=\"col medium-4 small-12 large-4\"  >\n\t\t\t\t<div class=\"col-inner text-center dark\" style=\"background-color:rgb(0, 140, 178);\" >\n\t\t\t\n\t\t\t\n\n\t<div id=\"gap-1732857751\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-1732857751 {\n  padding-top: 10px;\n}\n@media (min-width:550px) {\n  #gap-1732857751 {\n    padding-top: 25px;\n  }\n}\n@media (min-width:850px) {\n  #gap-1732857751 {\n    padding-top: 10px;\n  }\n}\n<\/style>\n\t<\/div>\n\t\n\n\t<div id=\"text-247081645\" class=\"text\">\n\t\t\n\n<h3>New Customer Information Form<br>\n<\/h3>\n\t\t\n<style>\n#text-247081645 {\n  font-size: 1.75rem;\n  line-height: 1;\n}\n@media (min-width:550px) {\n  #text-247081645 {\n    font-size: 1.25rem;\n  }\n}\n@media (min-width:850px) {\n  #text-247081645 {\n    font-size: 1.35rem;\n    line-height: 1;\n  }\n}\n<\/style>\n\t<\/div>\n\t\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-595621449 > .col-inner {\n  padding: 15% 10% 10% 10%;\n}\n<\/style>\n\t<\/div>\n\n\t\n\n\t<div id=\"col-999400338\" class=\"col medium-4 small-12 large-4\"  >\n\t\t\t\t<div class=\"col-inner text-center dark\" style=\"background-color:rgb(0, 140, 178);\" >\n\t\t\t\n\t\t\t\n\n\t<div id=\"text-648893484\" class=\"text\">\n\t\t\n\n<h3>Medical Authorization Form<br>\n<\/h3>\n\t\t\n<style>\n#text-648893484 {\n  font-size: 1.75rem;\n  line-height: 1;\n}\n@media (min-width:550px) {\n  #text-648893484 {\n    font-size: 1.25rem;\n  }\n}\n@media (min-width:850px) {\n  #text-648893484 {\n    font-size: 1.35rem;\n    line-height: 1;\n  }\n}\n<\/style>\n\t<\/div>\n\t\n\t<div id=\"gap-891276678\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-891276678 {\n  padding-top: 10px;\n}\n@media (min-width:550px) {\n  #gap-891276678 {\n    padding-top: 25px;\n  }\n}\n@media (min-width:850px) {\n  #gap-891276678 {\n    padding-top: 10px;\n  }\n}\n<\/style>\n\t<\/div>\n\t\n\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-999400338 > .col-inner {\n  padding: 15% 10% 10% 10%;\n}\n<\/style>\n\t<\/div>\n\n\t\n\n\t<div id=\"col-1738483331\" class=\"col medium-4 small-12 large-4\"  >\n\t\t\t\t<div class=\"col-inner text-center dark\" style=\"background-color:rgb(0, 140, 178);\" >\n\t\t\t\n\t\t\t\n\n\t<div id=\"text-3785465151\" class=\"text\">\n\t\t\n\n<h3>Credit Card Authorization Form<br>\n<\/h3>\n\t\t\n<style>\n#text-3785465151 {\n  font-size: 1.75rem;\n  line-height: 1;\n}\n@media (min-width:550px) {\n  #text-3785465151 {\n    font-size: 1.25rem;\n  }\n}\n@media (min-width:850px) {\n  #text-3785465151 {\n    font-size: 1.35rem;\n    line-height: 1;\n  }\n}\n<\/style>\n\t<\/div>\n\t\n\t<div id=\"gap-413202014\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-413202014 {\n  padding-top: 10px;\n}\n@media (min-width:550px) {\n  #gap-413202014 {\n    padding-top: 25px;\n  }\n}\n@media (min-width:850px) {\n  #gap-413202014 {\n    padding-top: 10px;\n  }\n}\n<\/style>\n\t<\/div>\n\t\n\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1738483331 > .col-inner {\n  padding: 15% 10% 10% 10%;\n}\n<\/style>\n\t<\/div>\n\n\t\n\n\n<style>\n#row-2006048247 > .col > .col-inner {\n  border-radius: 28px;\n}\n<\/style>\n<\/div>\n\t<div id=\"gap-279240461\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-279240461 {\n  padding-top: 30px;\n}\n<\/style>\n\t<\/div>\n\t\n\n<div class=\"row\"  id=\"row-1879379988\">\n\n\n\t<div id=\"col-843636193\" class=\"col medium-4 small-12 large-4\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n<a href=\"https:\/\/drive.google.com\/file\/d\/1A-trCsXQYDT3gVc31oWkl464uZIgn64p\/view?usp=drive_link\" target=\"_blank\" class=\"button primary is-outline expand\" rel=\"noopener\" style=\"border-radius:99px;\">\n\t\t<span>Download<\/span>\n\t<\/a>\n\n\n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n\t<div id=\"col-2108063514\" class=\"col medium-4 small-12 large-4\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n<a href=\"https:\/\/drive.google.com\/file\/d\/1hi-l3TyIxRTmw-rcBn5fH0M50_ny5D3L\/view?usp=drive_link\" target=\"_blank\" class=\"button primary is-outline expand\" rel=\"noopener\" style=\"border-radius:99px;\">\n\t\t<span>Download<\/span>\n\t<\/a>\n\n\n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n\t<div id=\"col-1656076158\" class=\"col medium-4 small-12 large-4\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n<a href=\"https:\/\/drive.google.com\/file\/d\/1ye9Wt_MxLOm55HcGgRhAaoywPGHj-xtY\/view?usp=drive_link\" 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