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George Kotsikopoulos - Strategic Account Manager, Healthcare
Phone: 1-800-218-4770 x5949

Agreement Status:   

Welcome to Shoes For Crews! We're proud to be your partner in safety.

Thank you for choosing Shoes For Crews as your partner in safety, For the account to be opened promptly and accurately, please provide the information requested on the form as outlined in the instructions.

Your Shoes For Crews Sales Representative will contact you when the form is submitted for processing.


Please complete and sign this form:

  • »# Locations « You can email the completed spreadsheet to

  • Please email your bank and trade references to and or click here
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    »Download Bank Release Form «
  • Please provide a copy of your certificate by clicking here

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By signing below, you acknowledge the following:

  • You certify all information provided is accurate and true, to the best of your knowledge.
  • You are authorized to establish a credit account for the above listed company.
  • You agree to abide by Shoes For Crews Payment terms of NET 30 DAYS.

Thank you for submitting your agreement online.

Your sales representative, George Kotsikopoulos - Strategic Account Manager, Healthcare, has been notified and will inform you when the process is complete.

Click here to download a copy of this online agreement for your records.
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