|
|
|
Supplier Account Registration Form
|
|
|
|
Fields marked with * are required.
|
|
|
|
Contact Information
|
|
|
|
* Courtesy Title
|
|
|
* First Name
|
|
|
Middle Name
|
|
|
* Last Name
|
|
|
* Company Name
|
|
|
* Commodity/Service
|
Please enter the Commodity or Service that you supply to your customers. [
Lookup
]
|
|
|
|
|
|
|
* Job Title
|
|
|
* Department
|
|
|
* Business Card Title
|
|
|
* Mailing Address
|
|
|
|
|
|
|
|
|
* City
|
|
|
State/Province
|
|
|
Other
|
|
|
Zip Code
|
|
|
* Country
|
|
|
* Telephone
|
Ext.
|
|
* Cellphone
|
|
|
Fax
|
|
|
* Email
|
|
|
|
|
Are you a
or a
supplier?
|
|
If CURRENT enter the name of your contact from Nidec below.
|
|
Nidec Contact
|
|
|
Requested User Access
|
|
Please select the Supplier Tool you want to have access with. Repeat as needed to select all that apply.
|
|
|
|
Plants
|
|
Please select the NMC Plant location where your material or service is supplied. Repeat as needed to select all that apply.
|
|
Plants List
|
|
Plants Selected
|
|
|
|
|
|
|
Login Information
|
|
|
|
Username
|
this will be the email address
|
|
* Password
|
|
|
* Confirm Password
|
|
|
|
|
User Agreement
|
|
|
|
* Please accept
Terms and Conditions of Use before completing the registration.
|
|
Accept
|
|
|
|
|
|
|
|
|