New Customer Application form
* Notes a required field, all fields required unless otherwise marked
Welcome to the VEI Communications new customer application page. New customers will fill out this form to generate an account number with VEI Communications
Business Legal Name*:
Business Legal Address*:

Business Billing Address*:

Business Type*:
Federal ID Number*:
Please email W-9 or ST105E to
State of Incorporation*:
Preferred Terms*:
Accounts Payable Contact*:

Person completing this form if we have questions*:

Do you require a PO number to receive an invoice from VEI?*:     
Do you require an estimate from VEI before performing service work?:     
Additional Information (optional):
Please complete the security check to the right *:
Thank you for your interest in VEI Communications. You should expect to receive a response from us in 2-3 business days.

Privacy Statement - The information collected in the form above is used only for the purpose of contacting you back. Your information (including your email address) is not shared with anyone. Your information is not stored or kept in our records in anyway and is only used for emailing and inquery purposes. By submitting the form above, you are agreeing with this privacy statement.