Azoti.com - Create a New Account
Please use this form to establish your Azoti.com account. You will receive an ID, password & instructions within 24 hours. Then you will be able to create your demand plan and access our ordering portal.
Email address
First Name
Your answer
Last Name
Your answer
Your Current Distributor
If you listed "other" for your Distributor, please enter it here
Your answer
Your Sales Representative (please enter first and last name)
Your answer
Please enter information for EACH DELIVERY LOCATION below. If you order for multiple locations, you will need to enter each establishment separately - Location #1, Location #2, etc.
If you have MORE THAN FOUR (4) LOCATIONS, please send your request to support@azoti.com or call 844-401-3276.
Parent Company
Ex: "Cleveland Clinic" "Ohio Health" or "Hyatt"
Your answer
Location #1
Location #1 Name
Ex: "Hyatt - Columbus" or if single location, repeat Parent Company name from above
Your answer
Location #1 - Street Address Part 1
Ex: "1275 Kinnear Road"
Your answer
Location #1 Street Address Part 2
Optional. Ex: "Suite 217"
Your answer
Location #1 City
Ex: "Columbus"
Your answer
Location #1 State
Ex: "OH" or "FL"
Your answer
Location #1 Zip Code
Format: ##### or #####-####
Your answer
Location #1 Emails
All emails listed here will be sent confirmation emails when orders are placed. Please separate multiple emails with commas. Ex: "test1@gmail.com, test2@gmail.com"
Your answer
Location #1 Mobile Phone Numbers
All phone numbers listed here may occasionally be sent SMS reminders when ordering windows open. Please separate multiple numbers with commas. Ex: "123-456-7890, 123-456-7890"
Your answer
Location #1 Phone Numbers
Please separate multiple numbers with commas. Ex: "123-456-7890, 123-456-7890 ext 123"
Your answer
Do you have another location to add?
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