Polychem Account Registration

A Trade Account is Required to Place an Order

Creating an account is easy.

Please complete the following form and upload your W9 in .pdf format.

Note that we only sell B2B for tax and labelling reasons, which is why we require a completed W9 form.

Once we have received your application, we will process your W9, set up your account and send you your log in information.

You can then log in and order your powder on line whenever you like!

Polychem Account Registration Form

Company Name

Contact Name

First

Last

Phone

Billing Address

City

State/Province

Zip/Postal

Billing Address

Is Billing Address Same As Shipping Address

Yes

Shipping Address If Different From Billing Address

City

State/Province

Zip/Postal

Shipping Address If Different From Billing Address

Are you already a trade customer of Polychem Coatings?

Yes, I already have an account with Polychem Coatings, and I would like to enable On-Line purchases

No, I am a new customer, I have never bought from Polychem Coatings

Is your company an end user of powder?

Yes-My company is an end user or reseller of powder and it is tax exempt

Yes-My company is an end user of powder and is located in a tax free state

Please upload your tax exemption certificate OR resale certificate, with your W9 here

Maximum file size: 256MB

If you are human, leave this field blank.

You can download a blank W9 form here

You can download a credit application form here