GIGIO

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Sign In Information

account info
User Email (ID) *	{{ errors.first('WebUserId') }}
Confirm User Email *	{{ errors.first('ConfirmEmail') }}
password *	{{ errors.first('WebUserPw') }}
confirm password *	{{ errors.first('ConfirmPassword') }}

Password must be at least 8 characters combined with numbers, letters, special characters

Company Information

account info
company name *	{{ errors.first('CompanyName') }}
Legal Name / Attention*	{{ errors.first('BillAttention') }}
Contact Name *	{{ errors.first('ContactName') }}
Title	{{ errors.first('ContactTitle') }}

Shipping Address

account info

Country
Address 1 *	{{ errors.first('ShipAddress1') }}
Address 2	{{ errors.first('ShipAddress2') }}
city *	{{ errors.first('ShipCity') }}
State *	{{ errors.first('ShipState') }}
Zip *	{{ errors.first('ShipZip') }}
Phone*	{{ errors.first('ShipPhone') }}
Fax	{{ errors.first('ShipFax') }}
Residential*

Billing Address

account info
Same as Shipping Address	Same as Shipping Address
country
Address 1 *	{{ errors.first('BillAddress1') }}
Address 2	{{ errors.first('Address2') }}
city *	{{ errors.first('BillCity') }}
State *	{{ errors.first('State') }}
Zip *	{{ errors.first('Zip') }}
Phone*	{{ errors.first('Phone') }}
Fax	{{ errors.first('Fax') }}

Additional Information

Seller's Permit(Resale ID) *	{{ errors.first('ResaleId') }}
seller's permit file	You can upload JPG, PNG, GIF or PDF choose file
*If you can't attach your seller's permit, please email it to {{masterParams.siteInfo.WebStoreEmail}}.

web address	{{ errors.first('CompanyWebSite') }}
How did you hear about us?*	Google Market/Trade shows Referred by a manufacturer Referred by a friend Wholesale Central Yahoo Other OtherMemo {{ errors.first('OtherMemo') }}

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