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Account Application

This information will be sent via email to Apex and any additional information needed to complete the account setup will be obtained via phone or email after this application is received. This process is not instantaneous, so please allow enough time for the application to be received and processed. Thank you.

Billing Information

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Account Application

This information will be sent via email to Apex and any additional information needed to complete the account setup will be obtained via phone or email after this application is received. This process is not instantaneous, so please allow enough time for the application to be received and processed. Thank you.

Delivery Information

Optional. Add one department here. You can add more below.
Optional.
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eStatements/email
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Account Application

This information will be sent via email to Apex and any additional information needed to complete the account setup will be obtained via phone or email after this application is received. This process is not instantaneous, so please allow enough time for the application to be received and processed. Thank you.

Bank Information

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Account Application

This information will be sent via email to Apex and any additional information needed to complete the account setup will be obtained via phone or email after this application is received. This process is not instantaneous, so please allow enough time for the application to be received and processed. Thank you.

Person(s) Allowed to Order

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Account Application

This information will be sent via email to Apex and any additional information needed to complete the account setup will be obtained via phone or email after this application is received. This process is not instantaneous, so please allow enough time for the application to be received and processed. Thank you.

For security reasons, please DO NOT provide your credit card information anywhere on this application. An Apex representative will contact you after this application is received. Thank you.
I the undersigned certify that the information indicated on this form is true and accurate. I understand that the electronic signature below shall have the same legal effect as if made under oath.
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