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SquashGalaxy New Account Creation


Why Create an Account?


An account stores your shipping and billing information so you don't have to type the information each time. If you place an order while logged into your account you will be able to view past invoices in the order history section. Credit Card Information is NOT saved.


Create New Customer Account
Bold = Required
Italic = Optional
Email Address: This information is used for account access. You will provide shipping and billing specific information below
Password:
Confirm Password:
 
Ship To: Bill To (If Different):
First Name:
Last Name:
Email Address:
Phone Number:
Fax Number:
Company:
Address:
City:
State/Province:
Other State/Province:
Zip/Postal Code:
Country:
First Name:
Last Name:
Email Address:
Phone Number:
Fax Number:
Company:
Address:
City:
State/Province:
Other State/Province:
Zip/Postal Code:
Country: