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Jeremie Corporation is exclusively a wholesale company. We sell our products to retailers only, not to the general public. The following, first-time website user registration process is designed to protect our legitimate retail customers, both current and new.

Current Customers
In the registration form below, you need only fill in those blanks with an asterisk (*). If you know your Customer Account Number, please fill it in, too. Be sure to scroll to the very bottom and enter your desired logon name and password. Then click on submit. You’ll receive an immediate auto-response acknowledging receipt of your form. Within 2 business days, a Jeremie Customer Service Representative will contact you by email or phone with your approved logon name and password.

New Customers
Please fill out the entire registration form below (except the Customer Account Number) and click on submit. You’ll receive an immediate auto-response acknowledging receipt of your form. Then, simply fax your business license and resale tax number to Jeremie at 404.875.8660, adding a note that you have registered online. Once all of your information has been received and your registration approved, a Jeremie Customer Service Representative will contact you by email or phone with your approved logon name and password.

For Net 30 terms
Perhaps the easiest way to purchase from us is with a Net 30 Account. If you have been in business for a minimum of one year, you may apply by downloading this application. Be sure to fill it out completely, including your signature. Then mail it to the address on the application or fax it to us at 404.875.8660. Our Account Services Representative will respond to you within about 1 week.

Thank you for your cooperation with this registration process.

* denotes a required field.

Bill To:
* Company Name :
* Buyer's Name :
Customer Account Number:
(if known)

* Street:
Suite/Dept #:
* City :
* State :
Country:
* Zip :

* Telephone :
   ex. 555-555-5555
Ext:
Fax:
ex. 555-555-5555
* E-Mail Address :

Ship To:
Company Name:
Attention:

Street:
Suite/Dept. #:
City:
State:
Country:
Zip:

Telephone:
Ext:
Fax:
ex. 555-555-5555
E-Mail Address:

Number of Years in Business
Number of Stores
Do you accept Back Orders?
Minimum Amount:
$
(We must receive a faxed copy of your business license and resale tax certificate
before your registration will be processed.) Fax to 404-875-8660.
Federal ID #
Tax Resale #

What kind of business do you have:
How did you hear about our Web Site:
If 'other' please state where:
Would you like to receive e-mail notification of product specials?

* Desired logon name    for access :
* Desired password :
 
Authorization to view Jeremie’s products on line is at the sole discretion of Jeremie Corporation.
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