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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