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Account Type

Business Account

I am purchasing on behalf of a company

Individual Account

I’m purchasing for myself

Business Name

Nature of Business

Name of your sales representative

I already have purchased from Wurth

Customer number

I don't have my number

Email

First name

Last name

Phone number

Ext. (Optional)

Password

Weak

Password Confirmation

Does not match

To keep your account secure, we recommend your password be at least 8 characters long with one number and one uppercase letter

Shipping information

Address line 1

Address line 2 (Optional)

City

Province

Postal code

My billing information is the same as my shipping information

Billing information

Address line 1

Address line 2 (Optional)

City

Province

Postal code

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