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Company Name
Reference Id
The reference ID will be a member number, the manufacturer number on a UPC code, or a registered vendor number. This is required for special programs.
If you are not sure what to put, it can be left blank.
Account Type
Choose Type
Master Account
Online Store
Supplier to Online Stores
An account will only be one type. Online Stores have consumer websites, and suppliers make their products available for resale by Online Stores.
First Name
Last Name
Title
Your title, such as product manager or owner.
Email Address
Your email address to contact you with questions.
Phone Number
Your phone number, not a general number for your company.
Password
Reenter Password