Register - Quantimetrix

REGISTRATION – LET’S GET STARTED!

Welcome to Quantimetrix and thank you for taking the time to register. Upon activation of your account, you will automatically receive 20% off your first order (excluding Lipoprint products). Please watch your email for an important message from our Customer Service Department.

If you have any questions or need help with this registration form, please call: 800-624-8380.

CREATE YOUR PROFILE
Username*

(USERNAME MUST BE A MINIMUM OF 7 CHARACTERS)
Password*
Enter Password Confirm Password

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Hint: The password should be at least seven characters long. To make it stronger, use upper and lower case letters, numbers, and symbols like ! " ? $ % ^ & ).
CONTACT INFORMATION
First Name*
Last Name*
Email*
- -
Job Title*
Company Name*
Phone*
Facility Address #1*
Facility Address #2
Existing Customer ID # (if applicable)
How did you hear about us? (Check all that apply.)*
- Advertisement
- Email Blast
- Trade Show
- Distributor
- Referral
PRIVACY POLICY
I Agree*
- I HAVE READ AND AGREE WITH THE PRIVACY POLICY.
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Phone
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REGISTRATION – LET’S GET STARTED!

CREATE YOUR PROFILE

CONTACT INFORMATION

PRIVACY POLICY

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