MAHLE Clevite Inc.

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2/24/2010 New Caterpillar 3406E 221-2305 16.25:1 C.R. Crown , Sleeve Assembly and Ring Set More 2/24/2010 Volvo Air Filter LX492 More 2/24/2010 New Filters For European Applications KL705, KX228D More
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EXISTING CUSTOMER REGISTRATION

Please use this form only if you are a current customer of MAHLE Clevite Inc.

Not a current customer, but would like to buy direct, please complete this form.

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Complete the information below, and receive a password emailed to you, valid for access to both mahlecleviteorder.com and mahleclevite.com. The access provided by these two resources will allow you to see pricing information, as well as inventory availability; you can even view invoices, order status and order product on-line -- sign up today!!!

Fields marked with an asterisk* are required.

CUSTOMER INFORMATION:

Account # *
Ship To Account #
Clevite Sales Rep
Company*
Contact Name*
Address 1*
Address 2
City*
State/Province*
Zip/Postal Code*
Country*
Phone*
Fax
Email*
*ONLINE OPTIONS:**
	mahlecleviteorder.com (online ordering)
	Ordering Access:
	Place Orders Inquire Only
	View Jobber Price
	View Customer Price
	View Invoices
	Please contact me for assistance in setting up multiple users.
	Notifications:
	Order Placed
	Order Shipped
	Alternate E-mail: †
	†If no alternate e-mail is provided, notifications will be sent to the address above.
	mahleclevite.com Customer Trade Area

TECHNICAL SUPPORT:

PC Manufacturer
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Operating System
Browser*
Access*	Dial-up High Speed
Proxy Server	Yes No - If yes, provide:
Pop-up Blocker Active*	Yes No Not Sure
	Cleviteorder.com does not function properly when the pop-up blocker is active.

Please click 'SIGNUP' only once, you will be notified when it has been processed.

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