If you don't know your customer #, please enter your city and state so that we can correctly identify your store.
For each of the following, please choose whether you'd like to receive your notifications/documentation electronically and if so, provide the fax number or email address to receive that document type.
Choose Email or FAX for the following confirmations:
Order Placement Notification:
Order Placement E-Mail Address:
Order Shipping Notification:
Order Shipping E-Mail Address 1:
2: (separate any additional addresses with a comma)
Customer Pickup POD Signature:
Choose Email or FAX for POD confirmations:
POD Fax Number:
POD E-Mail Address:
Would you like to be contacted about using our new 24/7 Online Ordering Website?
May we use the email address above in the order or shipping notification area to send you occasional new product announcements, inventory closeouts, or other special information?
Alternate email for announcements:
Additional email address 2:
Additional email address 3: