All the following information is required to register with ePallet.
Special Note - refrain from using special characters (i.e. &, /, \, %, $) in any of the following fields.
For example, if the name of your company is A & Z Pallets, then type A and Z Pallets. 
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Create a Supplier Account

Contact Name  
Address Line 1  
Address Line 2
City, State, Zip        
Phone/Ext   no dashes or parantheses...     
Fax Number no dashes or parantheses...  
Email Address(complete)
How did you hear about ePallet?
Purchaser or Supplier?
Radius in Miles (Radius Search - enter the furthest number of miles you will do business.)   
New Pallets
Reconditioned Pallets 
Remanufactured Pallets
Combo/Hybrid Pallets
Pallet Disposal
Username 8 - 10 characters  
Password 8 - 10 characters  
Password (confirm)  
Password Hint    

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