Reality Technology®

Technology for the Real World®

Registration

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Name:
Email:
Username:
Password:
Verify Password:
BILLING INFORMATION
Company Name:
Address:
City:
State:
Zip:
Contact Name:
Contact Phone:
Contact Fax:
Contact Email:
SHIPPING INFORMATION
Address:
City:
State:
Zip:
Contact Name:
Contact Phone:
Contact Fax:
Contact Email:
METHOD OF PAYMENT
Is PO Required?:	Yes No
Method:	Check Credit
Tax ID (If Tax Exempt):
FOR ONLINE ORDERING
Name:
Phone:
Email Address:
Fax:
DOES YOUR ORDER REQUIRE APPROVAL? IF YES...
Approver Name:
Approver Phone:
Approver Email:
HOW DO YOU ORDER?
Purchasing department submits order?:	Yes No
Departments order direct from vendor via phone, fax or email?:	Yes No
Use online order Approvasl System (OAS) to limit, approve and track company pruchases?:	Yes No
Use online ordering without OAS?:	Yes No
Do you utilize Charge Codes?:	Yes No
Cost Centers?:	Yes No
Budget limit per user?:	Yes No
Purchase Orders (pos)?:	Yes No
Is proof of delivery required?:	Yes No
Can Reality Technology Inc. substitute an alternate/comparable product to guarantee next day delivery for iitems that are out of stock in the warehouse?:	Yes No
What format does account require for invoicing?:
If you need free Reality Technology Inc logs sent to you, how many?:

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