If you have not established an account you will need to do so before placing your order. Otherwise, you need to log in to continue.

Complete this form, then click the Continue button below. This will take you to the Account Information Verification page. There, you will be able to verify that the information you entered is correct before submitting your information.

If your information is not correct you will be able to return to this form, make your corrections and continue.

Account Information
	Company Name:
		Enter the name of the entity responsible for this account
	Contact:
		Enter the name if the individual to contact regarding this account
	Telephone:
		Include Area/Country Code and City Code (if Applicable) Format: 1-217-555-1212
	Contact eMail:
		This should be the Contact Person's eMail Address
	URL:
		Leave blank if no URL

'About' Section Information (Re-seller Personalization)
Example If you wish to act as a re-seller, there are four items you can provide which will appear in the 'About' section of your client's personalized Digital Specialties application (see example image at right). This information will allow others to contact you if they are interested in having you produce a personalized Digital Specialties application for them. If you do not wish to act as a re-seller do not complete this section.
		Yes, I want to re-sell Digital Specialties applications
		Checking this item will complete all fields below with the same information that you entered above. You can then edit these fields as you like. Un-checking this item will clear all fields below.
	Company Name:
		Enter the name of the entity you wish users to identify you with.
	Telephone:
		Include Area/Country Code and City Code (if Applicable) Format: 1-217-555-1212 Leave blank if you do not want to be contacted by telephone.
	eMail:
		Enter the eMail Address that you would want potential customers to contact you at.
	URL:
		Enter the URL to your web site. Leave blank if you do not have a web site.

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All coding for this interactive web site, including PERL, JAVA, CSS and HTML, by Trabue Gentry. Copyright © 2012 Digital Specialties, a Trabue Gentry company. All rights reserved.