Price King New Customer  Registration

 

Thank you for choosing to shop with Price King Online. Please fill in all the information on this form and then press the 'Submit' button below.

If You are a new customer, We will contact you before processing your order!

If you are an existing PRICE KING customer (and this is your first time here), please fill all the information below, so we can identify you correctly and set up your internet account. We will ship the same as usual!

All items with red Prompts (below) must be filled in.


Are You an existing PRICE KING Customer?
        Yes     No
  Password below will be used for future log-in!
Password:
Confirm Password:
Your E-mail:
Confirm E-mail:

Bill To:		 .
Company name:
Address-1:
Address-2:
City:
For US states use the 2 letter abbreviation
State/Prov:  Postal Code: 
Country:
AreaCode & number, No spaces, No dashes, No parentheses
Phone:
- -
Fax:
- -
First and Last Name:
Your Position:
A verifiable resale# or tax exempt# is required from USA buyers
May be left empty and faxed or emailed later.
Resale Number:

    Ship To:
 
If same as 'Bill To' Then skip the rest
Company  Name:
Address-1:
Address-2:
City:
For US states use the 2 letter abbreviation
State/Prov:  Postal Code: 
Country:
Area code & number. No spaces, No dashes,No parentheses.
Phone:
- -
Fax:
- -
Contact 1st & Last Name:
Contact Position: