Oasis - User Registration

This form will allow you to register for OASIS, the Order And Shipment Information System web site.
Please provide the information requested below. Items appearing with a * are required entries, all others are optional. Providing accurate information will expedite the registration process.

Create a User ID *
- OR -
Let Us Create One For You
Your Contact Information
First name: *   
Last name: *  
Position: *  
Once my account is activated I will use OASIS to: *
Phone: *
(10 digits, all numeric)
(Up to 5 digits numeric)
E-mail address: *   (user@domain.name)

Your Account Information
Company or School name: *
Address: *
Country: *
City: *
State/Province: *  
Zip Code/Postal code: *  
Type of Account: *  
SAN: (Not required for School Customers)
Customer Accounts: (No dashes or spaces. For multiple entries, hit Enter after the entry of your account number, or use the Tab key for another line.)
Account Number 
Would you please tell us how you heard about OASIS?

Customer Account Number/Comments:

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