Customers

If you are a new customer, please fill out the new customer form below. If you would like your account to be set up on Electronic Funds Transfer (EFT) for your purchases, please visit the Fintech Enrollment Page.

New Customer Form

Company*
Contact Name*
Phone*
Email*
Shipping Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Billing Address*
Street Address City State / Province / Region ZIP / Postal Code Country
State License Number*
State License Expiration Date*
Copy of Resale License (Optional)
Drop files here or

Max. file size: 128 MB.

New Customers

Customers

New Customer Form

Contact Us

(208) 377-0017

Boise

Coeur d’Alene

Idaho Falls

Ketchum