Client Registration

This registration will create an InnoTech profile to ensure that we have your latest mailing address, billing address, payment, and contact information. There is no request for payment information. This information simply serves to update your client profile in our Client Relationship Management (CRM) software.

* indicates required information.

Company Information

* Company:
* Contact:
  Website:    (example: www.innotechllc.us)
* E-mail:
* Phone:


Mailing Address

* Street:
   
* City:
* State:
* Zip:


Billing Address

  Copy Mailing Address
* Contact:
* Street:
   
* City:
* State:
* Zip:


Payment Information

Enter the Credit Card information for the card which will be charged for all InnoTech invoices.
Name:
Card #:
CC ID: (3 or 4 digit code)
Expires:  
 
  Notes: Please provide us with any additional miscellaneous information regarding your client information:
 
    
* Indicates required information.

Register as a client and optionally provide your payment information for InnoTech-related invoices.

contact info

i  n  n  o  t  e  c  h
PO Box 2102
Pawcatuck, CT 06379

Phone:
(860) 495-5494
Fax:
(860) 337-8141
Skype:
InnoTechLLC
Email:
[email protected]

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