Customer Registration

Please fill out the following form to be registered as a customer in our database. This will allow you to check status on all your orders online.

Please allow 24 HOURS to activate your account before trying to log-in.

Required fields are in bold







Online Web Registration is currently only available for US and Canadian customers.






Branch:
ex: 35
Account Number:
ex: 123456
Ship To Location:
ex: 0001


You can find your current customer number on a Vermed Invoice. If you don't have a customer number leave this field blank and one will be assigned to you.

Create your Username and Password




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