Home Page

STAR Online Order Service™ REGISTRATION FAST FORM
(please complete all fields)
1. Company Name
2. Existing Customer?  (If no, please also complete #11) yes     no
3. Your Name
4. E-mail address
5. Fax Number ( )   -   

or outside the USA
6. Type of Company
7. Do you want order confirmation via fax or e-mail e-mail     fax     none
8. Do you use internal UNIQUE part numbers? yes        no
9. Choose a Username (at least 4 characters)
10. Choose a Password (at least 4 characters)
11. Who at D&D do you usually speak with about orders?
12. From what other company have you ordered industrial supplies or manufacturing materials?
If you're an existing customer, that's it! You're done!  Skip to the bottom and SUBMIT.  
We'll have you setup in no time and advise you via fax or e-mail when your account is ready. Thanks for choosing D&D TOOL & SUPPLYe.  We'll see you ONLINE!

If you answered "no" to #2 please complete the info below.
New to D&D?  Please give us your contact information.
Bill to address number & street, suite #
Bill to City, State, Zip
Bill to Phone ( )   -
Are your Ship & Bill addresses the same? yes     no    
(if yes, you're done. Skip to submit) ---otherwise continue
Ship to address number & street, suite#
(if applicable)
Ship to City, State, Zip
Ship to Phone ( )   -
Comments