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Internet Ordering Application

The following information is necessary to setup your account for online ordering. This information will be kept confidential. Accessibility to your account via the internet is your responsibility. By signing below, you take full personal responsibility for all internet orders placed on your account.
Company
City/State /
* Phone
CSI Account#  ship to
Password your choice
E-mail
* Your Name
Signature Check box to acknowledge statements above.


Copyright Competition Specialties Inc. 2007
2402 West Valley Highway North
Auburn Washington 98001
253-833-6211