Electronic Document Delivery Signup

*Company Name:**
Customer #:
*City:**
*State:**
*First Name:**
*Last Name:**
*Job Title:**
*Your Office Phone:**
Your Mobile Phone:
*Your Email Address:**
Order Confirmation:	Yes No
	E-Mail Address:
	(Note: Order confirmation can be set up to automatically email to one email address only per account)
Order Shipping Notification:	Yes No
	E-Mail Address
	(Note: Shipping Notifications can be sent to multiple email addresses. Separate any additional addresses with a comma.)

Customer Pickup POD Signature:	Yes No
	(Option should only be selected by dealers that directly pick up orders at a VELUX regional warehouse.)
	POD E-Mail Address: (One email address only)
Electronic Invoice:	Yes No
	(Option should only be selected if the account is not set up to bill through a buying group and/or the company's corporate office.)
	E-Mail Address: (one email address only)

Would you like to be set up to use our 24/7 Dealer Extranet Online Ordering System?		Yes