Thank you for your interest in becoming a Mercana customer.  Please fill out the online form below and our Customer Service Team will contact you as soon as possible.

 

MERCANA PHOTOGRAPHIC SUPPLIES - NEW CUSTOMER REGISTRATION FORM

Company Name:

Date:

Contact: E-mail:
Contact Phone #:


Bill to Same as Ship to


Ship to

Name:    

Name:    

Address:

Address:

Phone:

Phone:

Fax:    

Fax:    

E-mail:

E-mail:

Attend Trade Shows: No Yes
If Yes, please list

Type of Business:   

Interested in:

Picture Frames (Ornate)

Picture Frames (Chop & Join; assembled and/or molding stick lengths)

Framing Hardware (point drivers, tape guns, paper, hangers, screws, etc.)

Photo Albums

Cardboard Mounts (Folders, Easels, misc. mounts)

Foil Stamping equipment and/or services

Photo greeting cards (thank you, special occasion, seasonal)

Photo Mounting Supplies and Equipment

How did you hear about Mercana:

Trade show

Referral

Sales Representative

Comments: