Federal Customers
Welcome to Lucille Maud Corporation
Office Supplies and Stationery/Online

Registration

Please complete the form below to receive your Lucille Maud E-Way User ID and Password. So we may best serve you, please complete as much information as you can on the form and allow 24 hours for account set up or maintenance to take effect. Please do NOT provide Credit Card Information in this request!

Questions?
Call: (866) 536-1818 Email: information@lucillemaud.com

* Symbol denotes required field.
 

1.

 Please enter the following information about yourself. Please be sure to fill out all fields.

     

*Name
*Department/Agency
*Service/Agency of Assignment
 Other Department/Agency/Service
*Building/Room #/Mail Stop #
*Shipping Address
 Shipping Address 2
  *City
  *State
*Zip
 
*Phone (XXX) XXX-XXXX Ext
 FAX (XXX) XXX-XXXX
*E-mail
*How did you hear about our site?
 
Referral Information
Account Manager

2.

 If you place orders for more than one shipping address, please include additional street address, city, state, and zip in the Additional Comments field. You may enter any other additional comments as well.

 

 Additional Comments

3.

 Click Submit below to send us your Registration Information.