For non-contract GSA items call 310-261-4020

AF&S Registration

If you need assistance filling out the registration form, please contact AF&S at 310-261-4020.

	*	Required
First Name:	*
Last Name:	*
Title/Position:	*
Name of Facility:	*

Billing Address
Address (line 1):	*
Address (line 2):
City:	*
State:	*
Zip Code:	*
Shipping Address		Click here if the shipping address is the same as the billing address.
Address (line 1):	*
Address (line 2):
City:	*
State:	*
Zip Code:	*
Payment Method
How will you be paying for your purchases?	*	Purchase Order Credit Card Both
	To ensure the highest standards of security, Credit Card customers will be contacted directly by AF&S to obtain credit card information as part of registration.