Tech Startup

SHIPPING INFORMATION
Which Type of Shipping Do You Prefer?*
- DAE Pumps Provided Shipping Co
- Client Provided Shipping Co
Shipping Destination Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Receiving Hours*
Shipping Point of Contact Name
Person to contact regarding shipping details
First Last
Shipping Point of Contact Phone*
Shipping Point of Contact Email
Shipping Notes
Please describe anything we need to be aware of regarding shipping

Accounts Payable Name*
First Last
Accounts Payable Phone*
Accounts Payable Email*
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
TECH STARTUP or FIELD SUPPORT TECHNICIAN
Is Technical Support and Setup Needed? Yes or No?*
- No
- Yes
Type of Support (Multi Select)*
Select all that apply
- Startup and Training at Project (2-day)
- Virtual Training (Startup)
- Repair and Inspect at Project
- Other
Target Date of Support (If Known)
Estimated.
MM slash DD slash YYYY
Closest Airport Name
Suggested Hotel Name*
Hotel is Closest to:*
Select which location the hotel is nearest to
- Job Site
- Airport
Your DAE Pumps Sales Rep
Primary Rep you have worked with.
PO# OR DAE Pumps Quote # (If Known)
Project Name & Notes
Please add anything else we should be aware of.
W9 Upload
Max. file size: 128 MB.
W2 Upload
Max. file size: 128 MB.
Tax Exempt Upload (Only If Applicable)
Max. file size: 128 MB.
Misc File Upload
Max. file size: 128 MB.
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Contract Info – Let’s get Shipping and Tech Startup Info: