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)
Adore	Florida Tile	Mannington Porcelain	Sponge Cushion
Alloc	Gundlach	Mannington Laminate	Southern Cross
American Saftey Razor	Halex	Mannington Rubber	Starecasing Systems
Ark Wood Flooring	Hardie Backer	Mapei	Sureply
Berry Laminate	Jaeckle Cushion/Adhesive	Mercier	Taylor Adhesives
Bostik	Johnsonite	Metro Quarry Tile	TecPly
Chapco Seam Tapes	LM Flooring	Nafco	Trends in Ceramic
DuoFast	Mack. Duncan Metals	Nobleseal	Trends in Glass
Esquire Tile / Florim USA	Mannington Vinyl/VCT	Permabase	Trends in Stone
Eterna Wood Flooring	Mannington Wood	Somerset Hardwood	Trillium Fine Hardwoods