When you register you will be able to access pricing that is specific to your account driven by volume.  Once registered you will begin to create an order history that will enable you to process your orders through Quick Order.  Quick Order will expedite your ordering process when you know the product codes of what you want to order.  These items will also begin to create a template of your order history that you can process orders from as well. 

* Required fields
User Information
UserName*
Password*
Billing Information
Facility*
Lab*
Address*
City, State   ZIP*	,
Phone*
Fax
Email*
Accounts Payable Contact Name*
Shipping Information Same as billing
Facility*
Lab*
Address*
City, State   ZIP*	,
Phone*
Fax
Shipping Contact Name*:
Purchasing Contact Same as account payable
Name*
Phone*
Fax
How will you procure product?   select Select one Purchase Order Credit Card Both
If you will regularly use the same credit card please provide
Credit card type	select Select one Mastercard Visa American Express
Credit card number
Expiration Date	select January February March April May June July August September October November December , select 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025
Name as it appears on card
Card Security Code	What's this?
How did you hear about this site?   select Select one Westnet Sales Rep Promotional Literature Internet Search Engine Colleague Other
If you currently have a Westnet contract number please include your name and account number
Contract Number
Comments/Questions
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