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{"sheet":"FORM","index":0,"n_rows":48,"n_cols":5,"rows_kept":48,"cut":false,"hidden":false,"merged":[[42,1,42,4],[15,1,15,4],[6,1,6,4],[29,1,29,4],[32,1,32,4],[37,1,37,3],[38,1,38,3],[39,1,39,3],[35,1,35,3],[31,1,31,3],[34,1,34,4],[36,1,36,3],[24,2,24,3],[40,1,40,3]]}
[]
[]
[]
[]
[null,null,null,null,"Mandatory fields"]
[]
[null,"CUSTOMER  APPLICATION \nBUSINESS INFORMATION"]
[null,"Customer Legal Name:",null,"DBA:"]
[null,"Tax ID:",null,"Website address:"]
[null,"W-9 or W-8BIN Copy included",null,"If no W-9 copy included, explain:"]
[null,"DUNS / BIN Number:",null,"Customer Category / Industry"]
[null,"Classification"]
[]
[null,"Fanuc Division: CNC",false,"Fanuc Division: ROB",false]
[]
[null,"BUSINESS CONTACT INFORMATION"]
[null,"Billing Address:",null,"City:"]
[null,"County:",null,"State/Province:"]
[null,"Zip/Postal Code:",null,"Country:"]
[null,"Buyer/Contact Name:",null,"Buyer/Contact Phone No:"]
[null,"Buyer/Contact Email:",null,"AP Inquiries email:"]
[null,"AP Contact Name:",null,"AP Phone Number:"]
[null,"AP Contact Title:",null,"AP Email for Invoices:"]
[]
[null,false,"SHIP TO INFORMATION"]
[null,"Shipping Address:",null,"City:"]
[null,"County:",null,"State:"]
[null,"Zip Code:",null,"Country:"]
[]
[null,"CREDIT / PAYMENT INFORMATION"]
[null,"Terms Requested:",null,"Expected Annual Sales:"]
[null,"Is your company tax exempt in any given State? (YES=PROVIDE COPY OF TAX EXEMPT CERTIFICATE)"]
[null,"**Tax Exemption Certificate provided must list FANUC America Corporation as the seller, showing your company name as the exempt party, along with it being signed and dated by an authorized signature of management within your organization**"]
[]
[null,"EXPORT COMPLIANCE INFORMATION"]
[null,"1. Has your company or an employee’s export privileges been revoked in the last 3 years?"]
[null,"2. Do you ship products requiring an export license?"]
[null,"3. For items that you export, list the top 3 countries by sales volume"]
[null,"4. Is your company registered for International Traffic in Arms Regulations (ITAR)?  Expiration (MM/DD/YYYY):"]
[null,"5. Do you manufacture firearms, firearm components, or ammunition?"]
[null,"6. If your answer to the previous question is \"YES\". Are these components intended for military use?"]
[]
[null,"FANUC EQUIPMENT "]
[null,"FANUC Product Serial #'s or information:",null,"FANUC CNC Controls Info:"]
[null,"FANUC ROBOMACHINE Info:",null,"FANUC Robots Serial/F#'s:"]
[]
[null,"Today's date (MM/DD/YYYY)",null,"Your Name"]
[null,"Your Signature",null,"Your Title"]

{"sheet":"DROP DOWN","index":1,"n_rows":69,"n_cols":2,"rows_kept":69,"cut":false,"hidden":true,"merged":[]}
["Various Questions"]
["YES"]
["NO"]
["N/A"]
[null,"CLASSIFICATION"]
["Account Type","APP - Adjacent Product Provider"]
["ROBOTICS","American Builder"]
["CNC","Authorized System Integrator (ASI)"]
["Both - ROB & CNC","Automotive Component (Tiers)"]
[null,"Automotive OEM"]
["Customer Category List","End User Machines"]
["3RD PARTY REPAIR","European Importer"]
["3RD PARTY SERVICE","Exporter"]
["BUILDING/CONSTRUCTION","FAC Subsidiary"]
["CHEMICAL/PHARMACEUTICAL","FANUC Affiliate"]
["CONSUMER GOODS (SPORT,TOYS)","FANUC Related Company"]
["EDUCATION","Federal"]
["ELECTRIC/ELECTRONIC/COMMUNICATIONS","Freight"]
["ENERGY-NUCLEAR"]
["ENERGY-OIL GAS"]
["ENERGY-RENWBL WIND SOLAR HYDRO"]
["FARM/CONSTRUCTION EQUIP"]
["FIREARMS-NON MILITARY"]
["FOOD, BEVERAGE & TOBACCO"]
["FURNITURE/WOOD PRODUCTS"]
["GLASS PRODUCTION"]
["HYDRAULIC/FLUID CONTROL"]
["JOB SHOP"]
["MACHINE TOOL ACCESSORIES"]
["MACHINE TOOL BUILDER"]
["MACHINE TOOL IMPORTER"]
["MACHINE TOOL INTEGRATOR"]
["MEDICAL"]
["METAL/STEEL(CUT,CAST,STAMPING)"]
["MILITARY / DEFENSE"]
["MINING / COAL EXTRACTION","Freight Forwarder"]
["MISCELLANEOUS / OTHER","General Industry"]
["MRO/RESELLER/SUPPLY COMP","Gov Contractor Std"]
["PACKAGING / RECYCLING","Government"]
["PAPER / PRINTING & SUPPLY","Importer"]
["PLASTIC/RUBBER (PROD,MOLDING)","Integrator"]
["RESEARCH / DATA COLLECTION","Integrator in Waiting"]
["ROBOTICS","Internal System Group (ISG)"]
["SOFTWARE / PROGRAMMING","Japanese Builder"]
["STONE FABRICATION","Korean Builder"]
["TRANSPORT - AUTO / LIGHT TRUCK","Learning Management System (Used by Training)"]
["TRANSPORT - MARINE, RAIL, OTHER","Machine Sales Distributor"]
["TRANSPORT-AUTO PARTS","OEM"]
["TRANSPORT-AVIATION","OEM Builder"]
["TRANSPORT-HEAVY","OEM Solution Provider"]
["TRANSPORT-REC(BIKE,ATV,BOAT)","Other"]
[null,"PENDING"]
["DATE ","Parts Dealer"]
["MM/DD/YY","Public Sector Companies"]
["N/A","Purchasing Service"]
[null,"Reseller"]
["Classification","Retrofitter"]
["AUTOMOTIVE COMPONENTS (TIERS)","Robot Distributor"]
["EDUCATIONAL ORGANIZATION","Service Company"]
["EXPORTER","System Solution Advisor"]
["GENERAL INDUSTRY","Taiwan Builder"]
["GOVERNMENT","To Be Decided"]
["INTEGRATOR"]
["MACHINE BUILDER","Trading Company"]
["MACHINE IMPORTER"]
["MACHINE TOOL DEALER","Unauthorized"]
["PARTS RESELLER"]
["RETROFITTER","Unsigned Integrator"]
["SERVICE COMPANY"]