Register

Washington State Contract No. 04220
If you are purchasing under Washington State Contract No. 04220 for government or law enforcement agencies then please visit www.PhaZZerWest.com/Register

Washington State Co. No. 04220 Registration

Registration Form

Step 1 of 4

SELECT ACCOUNT TYPE*
- Government/Law Enforcement
  Select 'Government / Law Enforcement' if you are a Government Agency, Military Department, Law Enforcement Agency or Private Security
- Drop Ship Affiliate
  Select 'Drop Ship Affiliate' if you will NOT carry inventory and PhaZZer will ship directly to your customer, while you are responsible to bill the customer
- Master Distributor
  Select 'Master Distributor' if you are a company qualified to manage a market, a country or region exclusively and represents the lowest product costs (must be vetted and qualified together with proof of higher investment requirements)
- Supplier/Manufacturer
  Select this if you will be supplying parts for production of our items.

Personal Details
Work Title/Agency Rank*
Name*
First Last
Email*
Enter Email Confirm Email
Username*
Password*

Company/Agency Details
Company/Agency Name*
No. of Company employees / Sworn officers:*
Which product(s) are of interest?*
To select multiple products hold down CTL key + click
How did you hear about us?*
If Other is selected, please tell us how you heard about us below.

Your Billing Address
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Your Shipping Address
Address*
Same as Billing
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Your Contact Information
Office Phone*
Mobile Phone*
Office Phone*
Mobile Phone*
Options
- Newsletter
- Special offers and quarterly discounts
Consent*
I agree to the privacy policy.
Read Privacy Policy

Registration Form

Step 1 of 4

Personal Details

Company/Agency Details

Your Billing Address

Your Shipping Address

Your Contact Information

Options

holiganbet nasıl bir site

cratosslot online casino

holiganbet nasıl bir site

cratosslot online casino