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Company Name
Phone*
Email*
This will be your username
Password*
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Billing Address*
Street Address Address Line 2 City State ZIP Code
Separate Shipping Address
- Do you have a different shipping address?
Shipping Address*
Street Address Address Line 2 City State ZIP Code
Select your preferred shipping setup*
- Local Pickup
  Choose this option if:
  
  You are picking up your purchase AT Barton's Discounts which is located at 2222 Hillside Avenue, Indianapolis, IN 46218
  
  You MUST pick-up your purchase within 72 business hours otherwise it will be considered "abandoned" and will be resold without refund.
- LTL Commercial Shipping Only
  Choose this option if:
  
  You are delivering to a business location and NOT a residential address
  
  You DO have a loading dock or forklift at your business address
- LTL Commercial Shipping w/ Lift Gate
  Choose this option if:
  
  You are delivering to a business without a Forklift/Loading dock
- LTL Shipping w/ Residential Delivery + Lift Gate
  Choose this option if:
  
  You are delivering to a residence (House, Apartment, Condo, etc)
Do you wish to apply for a tax-exempt account?*
Tax exemption form upload*
Allowed file types: PDF