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Customer Login & Registration

New Customers...

If you are a retail customer and plan to use a credit card for purchases, we do not require that you fill out the form below.

If you are a Commercial Customer, a Federal Government or State Government Customer, please fill out the form below for access to special pricing.

New Account Registration Form

BILL TO:

Name:
Address:

City:
State:
Zip:

Phone:
Fax:

Same as Billing? SHIP TO:

Name:
Address:

City:
State:
Zip:

Buyer's Name:
Email:

A/P Contact:
Email:

Tax Exempt #:
Federal ID #:
DUNS:

Government Employee?

Yes No

Payment Method

Check Credit Card EFT

Credit References Given by Customer

*** Must supply fax numbers as all references are sent by fax ***
If you are a Federal Government Customer, we do not require credit references; you may skip this section.

Name:		Account #:
Phone:		Fax:

Name:		Account #:
Phone:		Fax:

Name:		Account #:
Phone:		Fax:

Bank References

Name:
Account #:

Name:
Account #:

Final Instructions & Credit Release

Please fax a copy of your Sales Tax Exemption Form to (540) 868-7590. This form is required for your Tax Exempt Status.

By sending this form, you agree that we may release your credit information to SpecialMade Goods & Services, Inc. I AGREE

SpecialMade Goods & Services, Inc. • 141 Marcel Drive, Winchester, Virginia 22602 • (800) 336-7795 • customerservice@specialmade.com

SpecialMade is a Value-Added Reseller of industry leading brand name commercial products, including Rubbermaid. We sell finished goods, replacement parts, spare parts and accessories. Product categories include washroom, safety, cleaning, waste handling, material transport, and food service. SpecialMade’s portfolio of services includes the creative product customization, imprinting and/or modification to meet operational requirements. We offer flexible warehousing, inventory, logistics and drop ship programs that deliver value to manufacturers, distributors and consumers. Customization solutions include Screen Printing, Vinyl Graphics, Hot Stamping, Graphic Design, Image Transfer, Pad Printing, and Product Modifications. Our overall approach to business is consultative; “How Can We Help You?”

Commercial Distributors and Government Customers

Login to access your account and special pricing.