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e-Catalog

Walker's E-Catalog

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*Required Fields

*Contact Name
Title
*Company
*Email

Billing Information

*Address 1
Address 2
*City
*State
*Zip
*Phone
(including area code. Numbers only, no dashes or spaces)

Shipping Information

*Contact
*Address 1
Address 2
*City
*State
*Zip
*Phone
(including area code. Numbers only, no dashes or spaces)

Our Legal Entity Is...

*Corporation Co-Partnership
Proprietorship Non-Profit Personal

Account Requirements

Do you use Purchase Orders?
*Yes No

Do you have departments?
*Yes No

*Number of Employees?

Online Ordering

Select a Username (6-12 characters)


Would you like to be contacted regarding more information about online ordering?
Yes No

What Product Lines are you interested in? (check all that apply)
Office Supplies
Office Furniture
Paper
Ink & Toner
Janitorial & Breakroom
Promotional Products
Print & Copy

How did you hear about us?
Contacted by Account Manager
Received Advertisement
Saw Green Delivery Van
Referral
Website

Payment Preferences
Pay by Credit Card
Bill Me - Net 30 Days from Invoice

General Terms & Conditions

The undersigned purchaser agrees to pay, in the event his/her account becomes delinquent and is turned over to an attorney for collection, reasonable attorney's fees plus all court and attendant collection costs. I/We agree that all invoices past due are automatically assessed service charges of 1.5% per month (18% annual rate) and become part of the total balance owing. Walker's Office Supplies, Inc. reserves the right to hold orders if your account goes beyond credit terms.

I hereby authorize release of any credit information from any source, to Walker's Office Supplies, Inc. for the purpose of extending credit. The above information is submitted for the purpose of opening an account, and I do herby certify that this information is true and correct.
* I have read and agree to the above terms and conditions.
* Just to make sure you're human... what is 4 + 5?
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