Apply for online account – DeSantis Solutions

Company name *

Customer # (as it appears on invoices)

Customer numbers are located on each shipment confirmation and invoice. Please leave blank if you don't have this information.

Your name *

First

Last

Email *

Phone

Desired password

Password

Confirm Password

If you don't set a password now you will be forced to set one during your first login.

Product shipping information

Address Line 1

Address Line 2

City

State

Zip Code

The address can be left blank if you only have one location receiving your shipments.

Additional employee logins

Name

First

Last

Email

Phone

Product shipping information

Address Line 1

Address Line 2

City

State

Zip Code

The address can be left blank if you only have one location receiving your shipments.

Does this users purchases need to be approved?

Yes
No

Phone

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