New Customer

Please fill out the information completely.
Upon verification of your company's information we will contact you with all the necessary account information.
*Required

Company name	*
Owner's name (First and Last)	*
Business Phone#	*
Alternate Contact Phone Number.
E-mail	*
Are you a reseller?		YesNo
		*Some files have not been accepted.


Your name (First and Last)	*
Business Fax#
Website

Retype e-mail	*
Business Validation		no files uploaded Please upload one of the following: LLC, EIN, W9 or Contractor's License *Some files have not been accepted.

Permanent Ship To

Country	*
Address 1	*
Address 2
City	*
State/Prov	*
Zip/Postal Code	*

Bill To
Same as ship to
Country	*
Address 1	*
Address 2
City	*
State/Prov	*
Zip/Postal Code	*

Primary Language Preference	EnglishGermanSpanishFrench
Document Delivery Preference	EmailFaxBoth
Do you wish to receive our e-mail newsletter?	YesNo

* Select one or more business categories that your company conducts business in.

Architects/Designers

Commercial Glazing

* Let us know how you found C.R. Laurence

ReferralTrade PublicationTrade ShowWebsite or Search Engine

Select any documents you would like to receive after customer number approval.

Open Account Credit Application
(Not necessary if you will be paying by bank card.)

Any additional questions or comments concerning our products or services?

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Password	*
Re-Enter Password	*