Input numbers only 
(No Alphabet) 

Solution Graphics

Simply fill out the New Dealer Registration form below and your registration will be processed automatically.

Directions :

1) Please fill out this form. Failure to complete of this form will cause this form to be rejected.

2) Choose your own Dealer ID and Password. When typing in your Dealer ID and Password, please keep in mind that these are case sensitive. We recommend that you type your Dealer ID and Password in lower case to avoid any confusion. Your Dealer ID and Password must only be made up of letters and numbers- no spaces, punctuation marks, or other symbols may be used.

3) Please fax your reseller certificate to our Accounting Dept. at (714) 903-7686

4) If you encounter any problem related to this form, please contact our Customer Service.

* Required Field
Dealer Registration Form
* Company Name :
Contact Person
* First Name :
* Last Name :
Contact Information
* Phone Number :
* Fax Number :
* E-mail :
Physical Address
* Address :
* City :
* State :
* Zip Code :
* Country :
Registration
* Dealer Id : it must not be longer than 15 characters.
* Password :
* Re-type Password :



Advanced Laser Cartridge. 11834 Western Ave., Stanton, CA 90680         Designed by iLoveWorld, Inc.
Toll : (800) 686-6376 / (800) 6-toner-6         Tel : (714) 903-7688 / (800) 686-6376         Fax : (714) 903-7686         E-mail : rebuild4u@hotmail.com