New Account Setup Please enable JavaScript in your browser to complete this form.NEW ACCOUNT SETUP Fill out the fields below to setup a new account for ordering.BILL TO:STORE NAME/NO.AddressAddress Line 1City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhoneEmail *Contact for PaymentFed ID# (FEIN)Contact at StoreDOCUMENTATION: Retailer must provide a copy of a current Resellers Certificate for account to be setup.Attach Resellers Certificate Drag & Drop Files, Choose Files to Upload Authorization for Credit Check: I understand that by completing and signing this request for a Choice Books display, that I am authorizing Choice Books to conduct a routine credit check on my business before the approval to place a display is final. I further understand that if this business is a sole proprietorship, Choice Books is authorized to review the credit background of the owner under the terms and conditions of the Fair Credit Reporting Act. I acknowledge that I am authorized to approve this request. NAMEType name here to authorize this order. Certificate Address STORE TITLESend your order by clicking the Submit Button below.Submit
