Instructions

Please complete the form below as completely as possible. Once you are finished, please click on the "Sign-Up for Account" button.

* Indicates required fields

Contact Information:

* Name
* Company Name
* Email
* Phone
* Fax
* Billing Address Please include Department, Street or PO, City, State, and Zip.
* Shipping Address If different than billing, please include Department, Street, City, State, and Zip.
* Special Shipping Requirements (Time, location or other.)
* Billing Contact
* Does your company require a Purchase Order?		Yes No
* Accounting Phone Number
* Accounting E-mail Address
* Accounting Fax
* Would you like to order online?		Yes No
* Name of person Authorized to set up this account.
Buyer Information:
* Buyer 1
* Email Address
* Approved to purchase online?		Yes No
Buyer 2
Email Address
Approved to purchase online?		Yes No
Buyer 3
Email Address:
Approved to purchase online?		Yes No
Additional Information:
*Current Supplier
*Number of employees in your office
*An automatic temporary limit will be set on your account. Please indicate below the average amount you spend per month on your office products. Our accounting department will contact your payables contact for any further information needed. Average Monthly Purchases.
* Please Specify Preferred Payment Type: Invoices will be emailed the following day unless specified to mail. If you choose to pay by credit card, we will contact you directly for your credit card information.		Open Charge Account Pay by Invoice Pay by Monthly Statement Pay By Credit Card
Email Invoices To:
Do not email invoices. Use regular mail.
* Preferred ID
* Preferred Password
* Tax Exempt? In order to process orders without charging tax, please fax your tax exempt certificate prior to placing your first order.		Yes No
* How did you hear of us? If you've been in contact with a sales rep, please indicate his/her name.
Special Instructions or Needs: