Sheridan, WY, USA New Customer Form *All information is required* DUNS(Optional): Company Name: DBA (If Applicable)(Optional): Brand Name: Billing Information Billing Address: Billing City: Billing State: Billing Zipcode: Country: Contact Info Contact Name(s): Email Address: Phone Number: Payment Method (Select One): Wire/ACHCredit Card (Inc. 5% fee) By signing below, I certify that the information provided is complete and accurate. This information has been supplied with the understanding that it will be used to determine the deposit amount and conditions required from me and the company I represent. I acknowledge and accept that if Pixel Studios determines a deposit hundred percent (100%) of the total project cost is necessary, this deposit term shall apply to all future projects between Pixel Studios and the company I represent until expressly modified in writing by an authorized representative of Pixel Studios. Furthermore, I authorize the relevant financial institutions to release any necessary information to Pixel Studios to verify the information provided and to evaluate the creditworthiness of the company I represent. The undersigned acknowledges and agrees to the terms set forth above and affirms that they are the authorized signatory of the company. Company Name: Authorized Signatory Name: Title: Date: I agree to the Privacy Policy
