General Customer Information
Email:
Company:
Change Password:	Type new password below
Password:
Retype Password:
Customer Category:
Enter New Customer Category Code, If Available:

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Specific Contact Information
You have the option of adding a new contact or updating an existing contact. To update, first select the contact in the drop down list. Then make changes and click the 'Update Contact' button when done. To add you can choose a contact from the list and modify the information or select 'Add New Contact' and enter all the appropriate data. When you have entered the correct infromation click the 'Add Contact' button (Note: your friendly name must be unique to add).
Select Contact:
First Name:
Last Name:
Address line 1:
Address line 2:
City:
State/Province (US and Canada only):	Non US Address
Other (for international use only):
Postal Code:
Country:
Phone 1:
Phone 2:
Special Text:
Friendly Name:

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Remove Contact Information

To remove a contact just click the remove button next to that contact (Note: You cannot remove 'Primary Addresses').

Name: