New Customer Registration

Register today to access discounted pricing, faster reorders, and other member‑only perks. Need help? Call us at +1 (844) 456‑1600 or email sales@disposerx.com.

(*Required fields are marked with an asterisk.)

User Account Information

Email Address*

Confirm Email Address*

Password* Your password must be 7–30 characters, include at least one letter, at least one number or punctuation mark, and contain no spaces.

Password Reminder*

Profile Information

First Name*

Last Name*

Phone Number* Format: 555‑555‑5555

Ext.

Company Name

Industry*

Do you have a Sales and Use Tax Exemption Certificate?

Can you provide a valid Sales and Use Tax Exemption Certificate upon request?

Sales and Use Tax Exemption Certificate Number

Address Information

Select all that apply

Primary Ship To

Primary Bill To

Address Line 1*

Address Line 2

City*

State*

Zip Code*

Type of Address*

Residence

Business
(A business address requires a company name.)