Account Setup for External Shared Resources Customers

Customer type * [* = required]

New customer

Update customer

Contact Information

First name * [* = required]

Last name * [* = required]

Email address * [* = required]

Phone number * [* = required]

Billing Information

Organization [* = required]

Do not include department information or other reference. If the customer is not part of an organization, enter "N/A" and start with entering the customer name for Address 1.

Address 1 * [* = required]

If the customer is not part of an organization, enter the customer name.

Address 2 [* = required]

Enter the box number or mail stop if available for interoffice mail. Otherwise, enter additional street address information.

Address 3 [* = required]

Enter the street address if not listed in Address 2, or additional address information if needed (e.g., Ste. #).

City * [* = required]

State * [* = required]

Zip code * [* = required]

Country * [* = required]

PI email address * [* = required]

Accounts Payable email address * [* = required]

Account Setup for External Customers

Contact Information

Billing Information

Core Information