Lincoln Aquatics - Customer Registration

Customer Registration

If you are a new customer, enter your information below and click on the Confirm button to register.

If you are already a Lincoln customer and need your login info, click here to request it.

Customer Registration

* indicates required field

Company Name: *

Primary/Billing Address

Street Address: *

City: *

State: *

Zip/Postal Code: *

Contact Information

Title:

First Name: *

Last Name: *

Phone: *

-- Ext.

Fax:

Email: *

It is okay to send promotional emails to this address.

Confirm Email: *

General Information

Business Type: *

If Other:

Tax Liable?: *

	Taxable
	Tax Exempt

Tax Exemption #:

If you are tax exempt, you must enter your tax exemption number.

Facility Information

Billing Address Same as Pool Address?:

	Yes
	No

Type of Facility:

Other:

Pool Location:

Indoor
Outdoor

Pool Volume:

Username: *

Password: *

Password must be a minimum of eight characters, and must contain at least one letter and one number.

Confirm Password: *

Mother's Maiden Name: *

Credit Account

If you would like to apply for a credit account after registering, please print and complete the application form and fax (925-687-0140) or mail to

Lincoln Equipment, Inc.
ATTN: Credit Department
2051 Commerce Avenue
Concord, CA 94520.