If you represent a business, and would like to establish an account with us, complete
this form to create your own online account. Once submitted, we will e-mail you
your user name along with complete instructions. Alternatively, you may choose to
print out this form and fax it along with bank and credit references to
If you have any questions or would like further assistance, please contact us at
TechXtend offers a direct credit line to qualified customers. Complete the bank
information fields below and we'll set up an account for your organization upon
approval. The fields below are optional; you may submit only your company information
now and an account representative will fax a credit application to you shortly.
Please provide the name and address of one of your current suppliers as a credit reference.