/ Registration

Please select one of the below options.

Does your company have an existing account with Agilix Solutions?

YES NO Submit

I want to continue as a guest account
I want to apply for a line of credit

Back Submit

First Time Ordering

Current Customer Request for e-Commerce Access

* Indicates a Required Field

Company Information:

(Please specify your company Billing address)
Account Number *
Company Name *
Address 1 *
Address 2
City *
State *
Zip/Postal Code *
Contact Information:
Salutation
First Name *
Last Name *
Title
Email *
Phone *
Password *
Password Confirmation
Registration Code
If you received a registration code from Agilix Solutions, please enter here.

Request Online Account Administrator Access:

I have the authority to register and serve as the Online Account Administrator on behalf of my Company. As Online Account Administrator I will have the option to add and/or remove authorized users (my Company's employee access) to the Agilix Solutions E-Commerce Site. As an Online Account Administrator, I agree to maintain and update employee access information and ensure all employee users abide by the Agilix Solutions Online Sales Terms of Use outlined in this registration form.

Yes/I Agree

Acceptance of the Agilix Solutions Online Sales Terms of Use is required to process your request for an e-Commerce account.

I have read and accept the Online Sales Terms of Use

Start Over

New Retail Customer

New Customer Request for e-Commerce Access

* Indicates a Required Field

Customer Credit Application

Thank you for your interest in doing business with Agilix Solutions. Click on the link below to begin the application process.

CREDIT APPLICATION

To ensure the timely completion of your secure online credit application, please have the following reference materials available before proceeding.

Company Legal Name
Officer/Owner Name
Federal Tax ID# (If Applicable)
Three Business References (Including E-Mail Addresses)
One Bank Reference

Please be prepared to identify the name of the individual who can provide a personal guarantee of debt for your company. Note: You must be authorized to complete this application on behalf of your company.

Thank You,

Agilix Solutions
Credit Department

Start Over

Your registration request has been submitted successfully. We are currently processing your registration and will notify you by e-mail when your login is approved and ready to use. Thank you.

Home Log In

Thank you for registering. Your account is now active. You are welcome to login and make an online purchase by credit card at this time.

Home Log In

KEYWORD	QUANTITY

French Gerleman

Speed Entry

Copy Paste

File Upload

If Duplicates in input:

WANT TO SAVE TIME AND ORDER FASTER?

ITEM # [TAB OR COMMA] QUANTITY

If Duplicates in input:

If Duplicates in input:

/ Registration

Please select one of the below options.

Does your company have an existing account with Agilix Solutions?

First Time Ordering

Company Information:

Contact Information:

Registration Code

Request Online Account Administrator Access:

New Retail Customer

Company Information:

Contact Information:

Registration Code

Customer Credit Application

Your registration request has been submitted successfully. We are currently processing your registration and will notify you by e-mail when your login is approved and ready to use. Thank you.

Thank you for registering. Your account is now active. You are welcome to login and make an online purchase by credit card at this time.

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An Email Id is required to process your orders. Please enter your email id and click update.