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IPG RebatesPlace™ Account Activation Form
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The Account Activation process is simple and easy! Simply fill-out the form below and click-on the [Submit Form!] button. Your account will be activated in 3 to 5 business days. You will receive a welcome letter via email from IPG with your login information (UserID and Password). Now you you can login and start enjoying the rebates paid by over 150 Mall Supply Partners and checkout your rebate totals 24/7 from Major Account Supply Partners. If you have received a check you have points, and when you login to IPG Rewards you can start enjoying all the benefits IPG has to offer including your IPG Rewards and our catalog with over 250,000 items.
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My Company & User Information
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Company Name:
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(Company Legal Name)
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DBA Name:
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(Doing business
as name)
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Street Address:
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Street Address2:
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(PO Box#, Warehouse #, etc.)
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City/State/ZipCode:
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ATD Account No:
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(Must be 6-digits and correct for activation; example: 561211)
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Your Name:
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(firstname lastname)
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Phone No:
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E-Mail Address:
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UserID/Password:
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Password Recover:
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Auto Plus Supplier Information
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Parts Store Name:
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Account No.:
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AutoZone Supplier Information
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Parts Store Name:
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Account No.:
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Auto Value Supplier Information
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Parts Store Name:
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Account No.:
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Bumper to Bumper Supplier Information
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Parts Store Name:
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Account No.:
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Factory Motor Parts Supplier Information
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Parts Store Name:
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Account No.:
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Other Auto Parts Stores (optional)
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Parts Supplier #1:
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(I.e. O'Reilly, Advance, Carquest, etc.)
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Auto Parts Spend:
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(per month)
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Parts Supplier #2:
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Auto Parts Spend:
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(per month)
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Parts Supplier #3:
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Auto Parts Spend:
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(per month)
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Form Status - All OK!
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NOTE: All information provided will be kept private and used specifically for research purposes. All bold data entry fields are mandatory and must be filled-out. Please allow 3 to 5 business days for your login account to be activated. You must agree to the usage terms and check the appropriate box above to obtain access to the website.
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