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    KEYWORD QUANTITY
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    If Duplicates in input:

    WANT TO SAVE TIME AND ORDER FASTER?

    Simply copy & paste Items from your file into the field below using the following format:

    ITEM # [TAB OR COMMA] QUANTITY

    If Duplicates in input:

    File Upload is supported by .xlsx Click Here To Download Sample File

    Use Speed Entry to manually enter keyword to upload it to quickly create a cart.

    File upload feature supports up to 100 records

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    If Duplicates in input:

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  • / Registration

Please select one of the below options.

Does your company have an existing account with Agilix Solutions?

Submit

First Time Ordering

Current Customer Request for e-Commerce Access

* Indicates a Required Field

  • Company Information:

    (Please specify your company Billing address)

  • Contact Information:

  • 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.


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

New Retail Customer

New Customer Request for e-Commerce Access

* Indicates a Required Field

  • Company Information:

    (Please specify your company Billing address)

  • Contact Information:

  • Registration Code

    If you received a registration code from Agilix Solutions, please enter here.

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

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

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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.


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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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