Online Ordering Signup Form

Company Name

Customer Number

*If you know your account number with D&D, then please enter it in the box below. If you don’t know your account number, then we will look it up for you once the form has been submitted.

Name

First Name

Last Name

Email Address

Cell Phone Number

Your City/State/Zip Code

Promotional Information

If you would like to receive information via email or text from D&D about new product announcements, specials or educational information, please select the appropriate boxes below. *NOTE: We will never sell your email address and we value your time so we will not send you information more than once a month.

Cell Phone

Both

Important: After signing up, you will receive an email with a temporary password. As this is just a temporary password, we strongly recommend changing this to something more memorable to you.

To change your password, simply log on to the ecommerce platform > select the My Account link (found at the far right of the menu) > and then select the Change Password link (in the menu on the left).

Client Login

Welcome, (First Name)!

Enter Member Area

My Profile Log Out

D & D Signup Form

Online Ordering Signup Form