GSA Account Set up

Simply fill out our web form and we will call you with your Account Number and confirm your billing and shipping information. Accounts are often set up the same day but occasionally take longer.

*Required entries are marked with an asterisk.

*Contact Name:

Title:

*Legal Company Name:

Are you a federal government agency?

Yes

Billing Information

*Address Line 1:

Address Line 2:

*City:

*State:

*Country:

*ZIP:

*Phone:

Ext:

*Contact
E-mail::

*Accounts Payable E-mail:

Shipping Information

Same as billing

Contact:

Address Line 1:

Address Line 2:

City:

State:

ZIP:

Phone:

Ext:

Fax:

Account Requirements

Do you use Purchase Orders on every order?

Yes

Do you use Cost Center or Departmental billing?

Yes

*Number of employees for whom you purchase supplies:

Estimated monthly spending on office products:

Online Ordering

Select a User ID: (4-12 characters)

Please contact me regarding User ID's for additional Online Buyers:

Yes

I am interested in the following GSB product lines:
(Check all that apply)

How did you hear about us?
(Check all that apply)

If you were contacted by a salesperson and know their name, please enter it here:

Payment Preferences

	Pay by credit card Give Something Back accepts Visa, MasterCard, Discover, and American Express.
	Pay by Electronic Funds Transfer (EFT) Account Name: Give Something Back Inc. Bank Name: Citibank West FSB Bank Routing Number: 321171184 Account Number: 201773652 Email Contact: cemmons@givesomethingback.com
	Bill Me — Net 30

General Terms and Conditions

Bills are sent after each order. All bills are due according to the agreed upon terms. No additional credit will be extended to past due accounts unless satisfactory arrangements are made with our Accounts Receivable department.

I hereby authorize release of any credit information from any source, to Give Something Back Inc. for the purpose of extending credit. The above information is submitted for the purpose of opening an account, and I do hereby certify that this information is true and correct.

Give Something Back Return Policy

If you are dissatisfied with anything you purchase, return it within 60 days for credit or a complete refund. Please keep in mind, however, that all returns must be in original, undamaged packaging. Software must be unopened. Printers, scanners, fax machines, copiers, computers and computer monitors must be returned within 14 days. Our return policy does not apply to food, medicinal or perishable items and custom orders including custom office products.

I have read and agree to the above terms and conditions

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654,234

	Office Supplies
	Paper
	Toner
	Computer Supplies
	Janitorial Supplies
	Green Products
	Ergonomic
	Furniture

	GSA Advantage

	Contacted by salesperson
	Received something in the mail
	Saw delivery truck
	DOD Emall
	Media article
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