To simplify the process of being set up as a customer, we offer the ability to provide some standard data through an encrypted e-mail that will allow us to rapidly set you or your organization up as a customer. This has the benefit of account billing and faster response time. Should you have any questions or need assistance, feel free to chat with a support tech or give us a call at 1-800-252-8574.

NOTE: If your company is entitled to tax exempt status, please fax a copy of your company’s exemption certificate to 423-578-3407, to the attention of Atlas Customer Center.

Customer or Company Name:
Name of Primary Company Contact:
E-Mail Address of Primary Company Contact:
Federal Taxpayer ID #:
Type of Business:
Date Business Established:
Type of Entity:
Billing Address:
Accounts Payable Contact Name:
Accounts Payable Contact Phone #:
Accounts Payable Contact Fax #:
Accounts Payable Contact Email Address:
Work Site / Shipping Address:
Authorized Contact List:
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