Keeping hazardous waste out of the environment

User Registration for customerzone.clearviewcoolant.com

You can automatically register yourself to be a user of Clearview Coolant's customer zone by filling out and submitting this form. Only registered users are allowed into the customer zone. Choose a username for yourself (such as your last name) and make sure this username contains no spaces. Also create a private password. Together these will be your "key" into the customer zone from now on. This information will be kept in a registration database that is accessible only to the webmaster, not to ordinary users.

After you are successfully registered, your web browser will ask you to type in your username and password the first time you try to access the customer zone. The browser will remember this information for as long as it continues to run, so you can access any document in the customer zone without being asked for it again.

Customer Zone Form Submission

Enter Your First and Last Name:

Enter Your Company Name:

Enter a Recent Invoice Number:
Ex. 80xxx

Make up a username:
 -- you can use mixed case
Make up a password:
 -- keep this private!
Enter password again:
 -- for verification
Enter e-mail address:
 -- For Contact Purposes

Script Written by D.Dunn.
Copyright © 2004 Foxcom Technologies. All rights reserved.
Revised: 06/24/05.