[Registration: New Account Form
- Jesilyn Barnes (Deactivated)
- Anonymous
Owned by Jesilyn Barnes (Deactivated)
Banner | ||||||
| Element | Type | Value | ||||
|---|---|---|---|---|---|---|
| Title | text | Set up your Ferguson account | ||||
| Subtitle | text | Account creation for new customers | ||||
| Copy | text | Whether you’ve done business with us before or this is your first time, creating an account is an easy step towards taking advantage of all the benefits Ferguson has to offer! | ||||
Form Instructions | ||||||
| Instructions | text | Complete the form below to get started creating your Ferguson account. Prefer to do this over the phone? Just call 1-888-222-1785 (Monday-Friday, 8am-8pm EST) to speak with a Ferguson associate. | ||||
Contact Information | ||||||
| Element | Type | Label | Restrictions | Validation | Notes | |
| Title | text | Contact Information | ||||
| Descriptive text | text | We will use this information to follow-up with you. | ||||
| First name | input, text | First Name | Minimum 1 character, max 40 | |||
| Last name | input, text | Last Name | Minimum 1 character, max 40 | |||
| input, email | Max 75 characters | On error: Must be a valid email address On existing: This email is already in use. | ||||
| Add user CTA | text | Need to add a user to an existing Ferguson.com account? Learn how | ||||
Company Information | ||||||
| Element | Type | Label | Restrictions | Validation | Values | Notes |
| Title | text | Company Information | ||||
| Descriptive text | text | We will use this information to set up your company. | ||||
| Company name | input, text | Company Name | Alpha-numeric, max 30 | |||
| Company street | input, text | Street | Alpha-numeric, max 30 | How is this going to work exactly? | ||
| Company city | input, text | City | Alpha-numeric, max 30 | |||
| Company state | input, alphanumeric | State | Alpha-numeric, max 30 | |||
| Company zipcode | input, numeric | Zipcode | Numeric, max 10 | |||
| Company phone | input, phone | Company Phone | Numeric, max 14 | |||
| Type of business | checkbox group | Type of Business | Plumbing Residential Repair, Remodel, New Construction, etc. HVAC Heating, Cooling, etc. Waterworks Sewer Authorities, Utility Contractors, Heavy Highway, etc. Fire & Fabrication Fire Protection, Suppression, Water Supply Systems, etc. Commercial Mechanical Commercial Plumbers, Mechanical Contractors, etc. Builder & Design Construction, Architect, Interior Design, etc. Facilities & Hospitality Maintenance Property Management, Janitorial, Lawn Care, etc. Industrial Chemical, Manufacturing, Mining, Oil, Gas and Power, etc. | Select all that apply | ||
Credit Application | ||||||
| Title | text | Apply for Credit | ||||
| Descriptive text | text | A commercial credit account allows you to charge to your account and maintain a running balance with Ferguson. | ||||
| Checkbox | checkbox group | I would also like to apply for credit with Ferguson | ||||
| Additional Directions | text | Please download, and complete the form. You can then submit it to CCAD@ferguson.com, or fax it to 757-369-5045. [ Download Credit Application (PDF) ] Note: To apply, you must be an owner or an authorized check-signer of your company. | Conditions: When Credit account prompt is selected | |||
| Submit | button | Request Account | Will send email to lead@ferguson.com with information. | |||
Pathing Cues | ||||||
| Descriptive text | text | Already have an account, but need access to Ferguson.com? See our online access request form. Stuck? Call us: 1-888-222-1785 | ||||