Federated Rebates & Rewards Login Creation Form

Creating your login for Federated Rebates & Rewards is easy! Simply fill out the form below and click "Submit Form!" when you are finished. In addition to creating a login, the form can be used to update information, change a password, or add Federated Suppliers.

Your account will be activated in 3-5 business days. You will recieve a welcome letter via email with your username and password.

My Company and User Information
Company Name: (Company Legal Name)
DBA Name: (Doing business as name)
Physical Address:
Mailing Address: (PO Box#, Warehouse #, etc.)
City:
State:
ZipCode:
ATD Account No: (Must be 6-digits and correct for activation; example: 561211)
Your Name: (firstname lastname)
Phone No: Ext:
E-Mail Address:
UserID: (UserID must be unique)
Password:
Password Recover:
Supplier Information
Parts Store Name:
Account No.:
Parts Store Name:
Account No.:
Parts Store Name:
Account No.:
Form Status - All OK!

Review Usage Terms...
NOTE: All information provided will be kept private and used specifically for research purposes. All bold data entry fields are mandatory and must be filled-out. Please allow 3 to 5 business days for your login account to be activated. You must agree to the usage terms and check the appropriate box above to obtain access to the website.
 
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