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Please fill out the following information and click [Submit] to create an account with Border Concepts, Inc. You will receive an email once you have been approved. Items in red are not required.

Company Name:
First Name:
Last Name:
Username:
Password:
Confirm Password:
Email:
Primary Phone:	(xxx-xxx-xxxx)
Secondary Phone:	(xxx-xxx-xxxx)
Address1:
Address2:
City:
State:
Zip Code:

Phone: 704.541.5509 FAX: 704.541.5610
Address: P.O. Box 471185, Charlotte, NC 28247