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Step 1 of 4: Company/Contact Information
Please complete the form as thoroughly as possible. The more information we have about your company the more services we can provide you.

Asterisk (*) indicates required field.

Personal Information
*First Name   *Last Name
*Title *Email/Username
*Password *Confirm Password
Preferred Language
Which one of the following best defines your role in your organization?
Company Information
*Company Name *Country
*Address 1 Address 2
Address 3 *City
*State/Province *Zip
*Phone *Website
Xerox Representative Name
*Public Portal
Selecting 'Yes' will include your company name and profile in the applicable search results and request a quote sections.

Certifications
Business Type
Affiliates/Associations/Memberships
*English Business Description
Use the field below to add promotional copy describing your business in English. It will be displayed as part of your directory profile. (Maximum 1,300 characters)
Local Language Business Description
Use the field below to add promotional copy describing your business in your local language, if different than above. It will be displayed as part of your directory profile. (Maximum 1,300 characters)
*Keywords
In the field below, enter any keywords you would like to have associated with your profile to help customers searching company capabilities.