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Toll Free:
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Tel:
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Fax:
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HOME > WEB ACCOUNT--REGISTRATION
Web account--Registration
Please fill out the application to sign up your La-Vallee.com account, then try to login
Username  
 *
Username must be at least 6 characters. Use only letters or numbers (no punctuation or special characters)
Password Retype Password
  *  *
Password must be at least 6 characters. Use only letters or numbers (no punctuation or special characters)
Company name Contact person's name
 *  *
Owner's name Buyer's name
 * *
Bill to address Ship to address same as bill to address
 * Yes No  *
Ship to address  
 *  
City Province                 Postal Code
 * *
Telephone Fax
 *
Email Address Company website
  *   
Are you currently a Lavallee customer?
Yes                    No  
If yes,please provide us with your customer code
   
Validation Code
Click the Refresh verification code*
   
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