Request for Website Credentials
REQUEST FOR WEBSITE CREDENTIALS
Each person, authorized to purchase under the account should submit for individual personal credentials. It is strongly recommended that credentials are not shared.
Todays Date
-
Month
-
Day
Year
Date
Telephone number
*
Please provide a mobile number or direct office number
Name
*
First Name
Last Name
Please set up my website credential under the following account.
Account Name
*
Account Number
If you do not know your account number, please leave blank. If you do not have an account, please go back and submit a request for an account first. Once your account is approved, you can submit for website credentials.
Account Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
email address
*
Job Description/Title
*
Are you authorized to purchase under the account?
*
Yes
No
Don't now
I have the following:
*
ACTIVE TRADE LICENSE
EPA CERTIFICATION CARD
I AM NOT A TRADESPERSON
I would like to use the website to:
*
look up parts I need for repairs
look up equipment for projects
order parts and equipment
manage materials list for repeat ordering
I would like to use the website to:
*
access training and product info
use contractor tools
view orders and invoices
other
Requested User Name
*
Requested Password
*
I would like access to:
Providence store # 262
Yarmouth store # 446
Both
Submit
Should be Empty: