eS&S User Setup Form

Requester Info
     Click here to cancel
* = Required information      
         
* Company Name
   
* First Name
Mid.  
* Last Name
Title or Position
Department
   
* Email
* Confirm Email
   
* Day Time Phone

Ext

Fax
eS&S User Profile
 
   
Same as requester
 
       
* First Name
Mid.  
* Last Name
* Title or Position
* Department
* Supervisor Name
   
* Email
* Confirm Email
   
* Address 1
Address 2
* City
 * State * Zip
   
* Day Time Phone

Ext

Fax
   
Ship To Address:  
Same as above  
   
* Address 1
Address 2
* City
 * State * Zip
   
* User Authorizations:
Default authorizations below = Basic Setup
   
Is this user allowed to process orders online through eS&S? (Selecting 'No' will only allow users to view product information; such as, descriptions, pricing, part numbers, open order information, etc. Online orders will not be processed. Yes No
Is this User Allowed to view/order eS&S catalog items, outside you company contract/approved items? (if any) Yes No
Is this User allowed to perform Account Inquiries to view account credit information? Yes No
Is this User allowed to view Order History records? Yes No
Is this User allowed to Create New Ship-To Locations for orders placed by your company with eS&S? Yes No
Is this User allowed to make changes and additions to
Non-Web Entered bids?		 Yes No
Is this User allowed to Edit or Alter your companies
Ship-To locations?		 Yes No
Is this User allowed to ship-to multiple locations? Yes No
If you answered Yes to the previous question, please provide the facility name and address of the additional Ship-To location(s).
Additional Comments:  

Your user name and auto generated password will be e-mailed to the User's email address above. All User Accounts are subject to approval from your S&S Outside/Inside Sales Representative. After approval, please allow 2-3 business days for account setup.

Thanks for requesting an eS&S login.

Have a great day.
   

Click here if you'd like to print your completed form before submitting