Multi Sales Inc Online Ordering REGISTRATION FORM
**FOR EXISTING CUSTOMERS ONLY**
(please complete all fields)

1.
Company Name
2.
Account No. or Zip Code
 
3.
Company Phone
4.
Contact Name
5.
Title
6.
E-mail address
7.
Do you want order confirmation via fax or e-mail
e-mail     fax     none
8.
Choose a Username (at least 6 char)
9.
Choose a Password (at least 6 char)
10.
Comments
We’ll have you setup within 1 business day and advise you via fax or e-mail when your account is ready. Thanks for choosing MULTI SALES INC.  We'll see you ONLINE!