Accounts Receivable AR05
New Customer Request
Purpose of Form: Please use this form to create a new customer in the system for invoicing.
_________________________________________________________________________________________________
To: ACCOUNTS RECEIVABLE DEPARTMENT
From: Name: _____________________________________________________________________________
Department: ________________________________________________________________________
Extension: _______________________
Date: ___________________________
NEW CUSTOMER INFORMATION:
> E-MAIL and/or Telephone # are required. If a Contact is not identified then Accounts Payable will be
selected by default.
Business Name: ________________________________
Mailing Address:
Street: ________________________________________
Suite/ P.O. Box: ________________________________
City: ___________________ Postal Code/Zip Code: ___________________
Province/State:___________________ COUNTRY: ___________________
Contact Name: ________________________________
Contact Phone: (____)_________________________
E-Mail Address:_________________________________
Contact Type:
Please submit New Customer form with your Invoice Request form to arinv@uwindsor.ca
ACCOUNTS RECEIVABLE DEPARTMENT USE ONLY
Approved by: _____________________ Date: __________________
Comments:
_______________________________________________________________________________
Statement/Invoice Type:
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