VOTW Invoicing/Credit Memo Request Form
* All fields are required.
Select the request type:
 ( Must select * )
New Invoicing Customer
New Credit Memo Customer
Adding New Authorized Users (Invoicing/Credit Memo)
Distributor Name:
  *
Vista Customer Number:
  *

* VOTW Invoice Authorized Users:
Extranet ID 1:
 
Email Address 1:
 
Extranet ID 2:
 
Email Address 2:
 
Extranet ID 3:
 
Email Address 3:
 
Extranet ID 4:
 
Email Address 4:
 
Extranet ID 5:
 
Email Address 5:
 

Main Contact:
  *
Contact Phone:
  *
Notes