Specialty Store Services - Customer Registration

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1-888-441-4440

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Create Account

Need additional help registering?

Contact Customer Service at 1-888-441-4440 (Monday-Friday 8am-6pm CST)

Step 1

Please take a moment to create your new account. Fields with a red * are required fields. If you need help during the registration process, click on the Question Mark

to learn more about completing an entry field.

United States

Canada

Puerto Rico

Other International

E-mail Address*

*Your email is required so that we can contact you about your order

Confirm E-mail Address*

User Name*

NOTE: Your user name must contain at least 6-30 characters using either letters, numbers, special characters or a combination of all. No Spaces Allowed

Password*

Confirm Password*

NOTE: Passwords must contain at least 6-30 characters with a minimum of 1 number. No spaces allowed

Please create a secret question and an answer to that question. These will be used if you happen to forget your current username and/or password. It is best to devise a Q&A that will be easily remembered, but not easy enough for someone else to figure out.
(Example: Q. In what city was I born? A. Des Plaines)

Enter Question*

NOTE: 50 Character Limit

Enter Answer*

Re-Enter Answer*

Step 2

First Name*

Last Name*

Company Name

Company Address 1*

Company Address 2

City*



	State *



	Zip Code *

International customers must use your Bongo Shipping Address. If you do not have on click below to get started

Company Phone Number*

Extension

Company Fax Number

Save this contact address as my default shipping address.
You can always change it later when you place an order.

Is this location a residence?
Yes No

Number of Locations

What type of business? *

How did you hear of us?

Are you Tax Exempt?

Yes

NOTE: Only pertains to customers located in Illinois. If you are tax exempt, please contact a customer service representative at 1-888-441-4440 to process your tax exempt info.

Step 3

Would you like us to send you new catalogs when available?

Yes

Would you like to receive order confirmations
& other promotions via email?
Yes No

454 Jarvis Ave. Des Plaines, IL 60018

Phone: 888-441-4440 - Fax: 888-368-8001

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