South Central Company welcomes you to Web Order Entry accessed through www.southcentralco.com. 

Please have the person responsible for accessing Web Order Entry complete this form and return to:

 

South Central Company, 

P.O. Box 367,

Columbus, In  47202-0367  or return by fax to: 812-376-0556.

                                                                                                        

                                                         Web Order Entry

                                  PASSWORD PROTECTION AGREEMENT

 

 

           Customer:____________________________________________________

        

           Address:_____________________________________________________

        

           City / State:___________________________________________________

 

           Contact “Super User”:___________________________________________

 

           Contact Title:__________________________________________________

 

           Telephone Number:_____________________________________________

 

           E-mail Address:________________________________________________

 

           Web Order ID:_________________(min. 6 characters)   Password:______________________(min. 6 characters)

 

           ***********************************************************************

             Your password is considered confidential and should be closely controlled by you.     

             Please keep in mind that whoever gets into this web site using this password  has

             access to all of your pricing and accounting information with South Central Company. 

             It is very important that you document who the password is given to and that South Central

             Company is notified immediately as personnel changes warrant your password to be changed.

            

 

           Signature:__________________________________

 

           Printed:____________________________________

 

           Date:______________________________________