All information provided to Door Closer Service Co. Inc. will be kept private and will not be sold/shared with any 3rd. party.

Provide the following information below. Once reviewed, you will be sent a login ID and password.  If your business is in the trade you will see your ordered items have been discounted.  If you are not in the trade, Door Closer Service Co. may still discount your order.

We thank you for shopping with Door Closer Service Co. Inc.  Please read our general policies about purchasing with us.

Business Name:
Street Address:
Street Address 2:
City:
State:	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip:
Mailing Address:
Mailing Address 2:
City:
State:	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip:
Phone:
Fax:
Cell:
Business Owner:
Office Contact:
Federal Tax ID:
Email/Login:
Account Password:
Business Type:	Choose one Glass Company Locksmith Security Consultant Door Repair Cabinet Maker/Millwork Builder's Hardware General Contractor Builder Federal Government State Government Local Government Church School Maintenance/Management Co. Other Institution Retail/Homeowner Other
Date Established:
Business Operates as:	Corporation Partnership Sole Proprietor
Are You Tax Exempt?	Yes No
	If yes, you must provide a tax exempt certificate from your state where your business is located. Items that are shipped to another address other than the state your business is located in will be charged retail tax.
	Enter Security Code: