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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
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
*
Alabama
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California
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Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
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Indiana
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Louisiana
Maine
Maryland
Massachusetts
Michigan
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Mississippi
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Montana
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Ohio
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Pennsylvania
Rhode Island
South Carolina
South Dakota
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Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington DC
West Virginia
Wisconsin
Wyoming
Zip Code
*
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
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21+
What type of business?
*
Store Type
Antique Dealer
Arts & Crafts
Auto Dealer
Auto Parts & Supplies
Bakery
Bank/Financial Institution
Beauty Supply/Salon
Book Retailer
Candy/Confectionary
Cellular/Pager Retailer
Clothing Retailer
Convenience Store
Dollar/Variety Store
Drug Store
Electronic Retail
Florist
Gas Station
Gift Store
Government
Grocery Store
Hardware
Health Foods
Home Furnishings
Hotel/Motel
Jewelry Retailer
Laundry/Cleaner
Library
Liquor Retailer
Medical/Dental Office
Museum
Music Retailer
Non-Profit Organization
Pawnbroker
Pet Shop
Religious Organizatiion
Restaurant
Retailer - Miscellaneous
School - Elementary & High School
School - College/University
Service Company
Sporting Goods
Tanning Salon
Thrift/Consignment Shop
Tobacco Dealer
Video Production
Video Retailer
Wholesaler/Distributor
Other
How did you hear of us?
Bought from us before
Referral
Google Search
Yahoo Search
Msn Search
Other Search Engine
Received Mailing
Saw an advertisement
Link from another site
Are you Tax Exempt?
Yes
No
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
No
Would you like to receive order confirmations
& other promotions via email?
Yes
No
Would you like to be contacted regarding?
(We have partnered with Proposal Portal who will match you with up to 5 vendors who will contact you to compete for your business.)
Point of sale systems
Credit card processing
Both POS and credit card processing
No I am not interested
© 2002-2007 specialtystoreservices.com All rights reserved 454 Jarvis Ave. Des Plaines, IL 60018 888-441-4440
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