New Member Registration
Sponsor A Sponsor Lab sets up your billing account and acts as your warehouse
representative. They provide training, answer questions, and issue
return authorizations. Choose your sponsor lab from the list, or we
will assign a sponsor based upon proximity.

Username  
Password  
e-mail address  
Name(DBA)  
Legal Entity Name  
EIN TaxID  
Business startdate(MM/DD/YYYY)  
Your  
First name    
Last name    
Proprietor's  
First name    
Last name    
Shipping address  
Street  
Alternate  
City  
State/Province  
Zip/Postal  
Country/Region  
Business phone  
Business fax  
Type of business    
Were you referred by a laboratory?  
Name of the laboratory  
 
I will be paying by 



Best time to contact me
 
Contact me by:

How did you hear about us?    
Refering rep  
Sales tax:


Enter the code shown above:
 

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Registration is free, no fees are charged for using LenStock.com.

Some registration fields are mandatory to create an account and will be noted by "Required"

Upon submitting your registration, it will be forwarded to to the appropriate sponsor laboratory.
If you selected "Open Account", your sponsor lab will may require that you complete a separate
credit application before authorizing your account. Your sponsor lab is responsible for order
support, returns and billing.

Thank you for using LenStock.com
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