Your Associate's ID # |
Associate Name: |
Search? |
|
(Please enter the ID # of the Associate who directed you to this site or who asked you to become a Watkins Customer.) |
|
Please Select An Offer Code / Advertisement |
|
|
Country * |
Language Preference |
|
|
|
|
|
First Name * |
Middle Initial |
Last Name * |
|
|
|
|
Billing and Shipping Information |
|
Billing Address * |
|
Billing Address Continued |
|
|
|
(Please include Suite #, Apt. #, North, East, etc., if applicable.) |
|
Billing City * |
Billing County |
Billing State/Province * |
|
|
|
|
Billing Zip/Postal Code* |
Additional Shipping Instructions |
Check if Outside the City Limits |
|
|
|
|
(Example: Set package on Deck) |
|
Billing address is the same as shipping Billing address is different than shipping |
|
Shipping Address * |
|
Shipping Address Continued |
|
|
|
(Please include Suite #, Apt. #, North, East, etc., if applicable.) |
|
Shipping City * |
Shipping County |
Shipping State/Province * |
|
|
|
|
Shipping Zip/Postal Code * |
|
Check if Outside the City Limits |
|
|
|
|
Contact Information |
|
Billing Phone Number * |
|
Shipping Phone Number * |
- - |
|
- - |
|
Cell Phone Number |
|
Fax Number |
- - |
|
- - |
|
E-Mail Address * |
|
Username ¹ |
|
|
|
|
Password |
|
Password * |
|
Re-enter Password * |
|
|
|
(We recommend a minimum of six characters with letters and numbers) |
|
|
|
|
|
¹ Note, if you choose not to select a username, you must use your Watkins ID, which you will receive in the final step, to login. |