Customer Registration

	Account Creation Please enter your identification information and click the Submit Application button. If you are an International or U.S./State Government customer that makes purchases direct through our Company office, we are currently unable to offer ordering capabilities to you. = Required Information

Tell Us about Yourself
First Name:
Last Name:
Job Title:
Email:
Phone:
Extension:
Fax:
Your Intermec Customer ID:
Purchases:	I am authorized to Purchase for my Company.
Corporate Affiliation:	I am a dealer or an affiliate of a major corporation.
Promotional Email:	I wish to receive Promotional Emails from Intermec.
Your Company Billing Address
Company:
Address:

City:
State/Province:
Postal Code:
Country:
Company Site DUNS Number:
Your Company Location
	My Company Location address is the same as my Company Billing address
Location Name:
Address:

City:
State/Province:
Postal Code:
Country:
Phone:
Fax:
Global DUNS Number:
Your Desired Login and Password
Login:
Password:
Retype Password:

	By submitting this request for access, you and your Company have agreed to our payment terms of Net 30 days and FOB origin--unless a previous arrangement has been made.