NCD Mobile App Username & Password Request

SALES REP INFO

My Division in NCD is:

My SALES CONSULTANTS NAME is

My sales rep is not listed...they are:

CONTACT INFORMATION

Your current email to receive confirmation of this submission

Which statement is most accurate for your current request? I need to set up a login or logins for:

Single Store

Multiple Stores

Customer Login Request Info Single Device

Account #

This will be your HLA or Allen Brothers
Account #

First Name

Last Name

This login request and credentials is for:

Other Employee, please specify title

The device you will be using for this request is

Email Address for set up instructions

Mobile Phone #

Customer Login Request Single Store MULTIPLE DEVICES/LOGINS

Account #

This will be your HLA or Allen Brothers
Account #

Multiple Devices / Logins (Single Store - one account #)

Please submit this specific users credential request for this device. When done with this request click "ADD ANOTHER RESPONSE" and continue until complete. To be clear, this is to be for the one account listed above; credentials are just for multiple devices and/or users

This login request and credentials is for:

Other Employee, please specify title

First Name

Last Name

The device you will be using for this request is

Mobile Phone #

Email Address for SET UP instructions

Email Address for Order Confirmations

Customer Login Request Info MULTIPLE STORES Single Device / Login

First Name

Last Name

This login request and credentials is for:

Other Employee, please specify title

The device you will be using for this request is

Email Address for set up instructions

Email Address for Order Confirmations

Mobile Phone #

YOU MUST SEPARATE ACCOUNT #'S BY COMMAS

Account #s

THESE will be your HLA or Allen Brothers
Account #s separated by commas

Customer Login Request MULTIPLE STORES + MULTIPLE DEVICES/LOGINS

Multiple Devices / Logins

Please submit each account # and specific user credential request. When done with one request click "ADD ANOTHER RESPONSE" and continue until complete.

Account #

This will be your HLA or Allen Brothers
Account #

This login request and credentials is for:

Other Employee, please specify title

First Name

Last Name

The device you will be using for this request is

Mobile Phone #

Email Address for SET UP instructions

Email Address for Order Confirmations