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New Customer Account Setup

  * required fields
Account type
New Account
* Company Name
* Ship to Address
* City
* State/Province
* Zip
For Placing Orders
* Contact Name
* Phone Number
  ( ) -
* E-mail Address
Accounts Payable and Billing
* Contact Name
* Phone Number
  ( ) -
* E-mail Address
Bill to Address (if different)

Products Sold & Serviced
(please check all that apply)
Canon Ricoh Savin
Gestetner Lanier Océ
Konica/Minolta Toshiba Kyocera/Mita
HP Other:
Authorized Dealer Of
Dealer Code
* PO Number Required
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*NWRS Invoice
Emailed to you   Included with order & packing slip
* How did you hear about NWRS?
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