Registration Procedure: Distributor Sign-In Password Request Form

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DISTRIBUTOR SIGN-IN

PASSWORD REQUEST FORM

REGISTRATION PROCEDURE

The Distributor Sign-In site can be accessed at: www.apexpowertools.com/distributors

To sign in to the site, you will be required to enter your username and password. In order to receive your
username and password, you must fill out the attached registration form and return to (803) 358-7690 or
alexis.armour@apextoolgroup.com.

Upon receipt of your registration form, a password will be e-mailed directly to the authorized
person in your company as submitted on the registration fax. As soon as you receive your password
sign-in, we encourage you to visit the site and spend a few minutes browsing to familiarize yourself with
the resources available.

On your first visit, you will be required to provide a brief distributor profile that includes your e-mail address
and other applicable information. We respect your e-mail address privacy and will not release your e-
mail address to outside parties; additionally, you may opt-out on receiving e-mail notifications of special
sales and other notifications.

SUBMIT Cleco Production Tools - Distributor Sign-In Password Request


TO: Email: Tequila.Spears@apextoolgroup.com

HMZAVERSE LLC
Company: _____________________________________________________
Street:_________________________________________________________
9717 SPRING ST

_______________________________________________________________
City: ______________________________________________
HIGHLAND

State: ________
IN Zip Code: ___________
46322 Country ___________
USA

Phone: _______________________
989-906-3196 Fax: __________________
Customer #: ____________________ (This field must be filled in to process.)

E-Mail: ______________________________________________
qambar.ali@hmzaverse.com

Please email to my attention the initial password to sign into the Apex Tool Group Distributor
Sign-In program.

I confirm that I am the designated authorized person at the above named company to receive
this password information.

Name (Please Print) QAMBAR ALI


_____________________________________________________
Procurement Manager
Title (Please Print) ______________________________________________________
07/05/2021
Signature ________________________________________Date__________________

Distributor Sign-In password will be e-mailed to the above contact upon receipt of the completed form.

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