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Download New Web-based Customer Request Forms

New Web-based Customers must download a Web Purchase Agreement and fax the completed form to 925-454-6485. Web Purchases are secured using your Visa, MasterCard, Discovery or American Express Credit Card.

New Web-based Customers who want to make purchases using a Purchase Order must download a Credit Application and fax the completed Web Purchase Agreement and Credit Application form to 925-454-6485.

Your Account Verification and Passwords will be emailed to you. Please allow 3-5 days to receive your confirmation.