Current Natico Customer User ID and Password Request

Even though you are a current Natico Customer it is necessary that you fill out this form to enable us to give you access to our E-Business Interactive Order Processing and Information System.  This system allows for multiple users within a Company.  We therefore ask you to provide a Manager’s Name (Supervisor) and then list each additional User for access to the site.  Each User will have a unique User ID and Password.

 

You will receive your unique confirmed User ID and Password via email shortly.

The Asterisk (*) Represents Required Information {Must Be Enter Before Submission....}

 

* Company Name:     * Customer Number:

 

Please also indicate the User mailing address only if different from the address associated with your customer account.

 

 

Manager

 

* Salutation:

 

* First Name:     * Last Name:  

 

* Administrative Function:

 

 Address:  

 

City:   State:    Zip:   Country:

 

* Phone No.:   Ext         * Fax: ...(if none type NoFax)

 

* Email:

 

* Requested User ID:   (max. 15 characters and must be Alphanumeric)

 

* Is this user authorized to place orders     Yes     No

 

* Is this user the Supervisor of this account      Yes     No

 

 

User #2

 

Salutation:

 

First Name:     Last Name:  

 

Administrative Function:

 

Address:  

 

City:   State:    Zip:   Country:

 

Phone No.:   Ext         Fax:

 

Email: (This Address Should be Different than User1 Email Address )

 

Requested User ID:   (max. 15 characters and must be Alphanumeric)

 

Is this user authorized to place orders     Yes     No

 

If you require additional users, please contact us at customer_service@natico.com

Thank you for taking the time to fill out this form. We are looking forward to your continued support.