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Handbellworld New Account Signup

Organizational Name:
Required Personal accounts: Just put your name here and in the one below.
Your Name:
Required Please enter the primary contact for any orderes placed.
Username:
Required Your login name must be unique. No Spaces, they will be removed.
We do not recommend using your email address.
 
Password:
Required Your password must be at least 15 characters long. It must contain a number,
a capital letter, and a punctuation mark.
X 15 Characters or More
X Uppercase Character
X Lowercase Character
X Number
X Symbol (~,!,@,,$,%,^,&,*,-,_,+,=,?,>,<)
Show Password
Retype Password:
Required Please retype your password.
eMail:
Required
 
Phone Number:
Required Numbers only. "+ () - " will be removed during the process of your form.
Customer Number:
Optional This can be found on any previous emailed or shipped invoice or
customer statment from Jeffers Handbell Supply, Inc.
A/R Account?:
AR Accounts are for organizational use only. Personal accounts are ineligible.
Tax Exempt Documents:
Optional If you have a tax exempt certificate, please upload a PDF of it here.
Our finance team will verify and update your account.
 

Once you click this button, your account will be setup and you will have to sign into your new account.