B2B Signup Request

First Name:
Last Name:
Company Name:
City:
State:
Account Number:
Phone Number:
Email Address:
Software Platform & Version# (RFMS, Qfloors, etc.) :

Transaction Set	Now	Eventually
I am interested in the following B2B transaction sets (Please check the appropriate column):
832 Price Catalog
810 Invoice
850 Purchase Order
855 PO Acknowledgment
856 Advanced Shipping Notice / Manifest

For Price Catalog, please check the products you desire (Note: You may add products in the future by contacting us)
Alloc	Florida Tile	Mannington Laminate	Sureply
American Saftety Razor	Gundlach	Mannington Rubber	Taylor Adhesives
Ark Wood Flooring	Hardie Backer	Mapei	TecPly
Berry Laminate	Jaeckle Cushion/Adhesive	Metro Quarry Tile	Trends in Ceramic
Bostik	Johnsonite	Nafco	Trends in Glass
Carpenter Cushion	LM Flooring	Nobleseal
Chapco Seam Tapes	Mack. Duncan Metals	Permabase
DuoFast	Mannington Vinyl/VCT	Scottdel Cushion
Esquire Tile	Mannington Wood	Somerset Hardwood
Eterna Wood Flooring	Mannington Porcelain	Sponge Cushion