Active-X.COM

Active-X.COM Account Registration

To create your account, please fill out the form below.  You will be able to submit products after your account is created.

* Required Indicates a required field.

Contact Information

We keep all personal information confidential and will not distribute it to any other party.

Your First Name
* Required

Your Last Name
* Required

Your Email Address
(yourname@server.com)
* Required

Choose a Password
(This is used to modify your information or add new products at a later time)
* Required

Confirm Password
* Required

Phone Number (used for product integrity)
(xxx) xxx-xxxx
* Required

Alternate Contact Information

Please provide a name and email address of an alternate contact for us to reach at your company, in the event your responsibilities change or you become unavailable.

First Name
* Required

Last Name
* Required

Email Address
(contactname@server.com)
* Required

Phone Number
(xxx) xxx-xxxx
* Required

QA Lead / Developer Contact Information

Please provide a name and email address of the person in charge of your Quality Assurance Department, or your Lead Developer.

First Name
* Required

Last Name
* Required

Email Address
(contactname@server.com)
* Required

Phone Number
(xxx) xxx-xxxx
* Required

Company Information

Company information will be published on our pages for others to get information about ordering your products.

Company Name
* Required

Company Address
* Required

, * Required
City, State/Province, Zip/Postal Code

Country
* Required

Company Web Site
http://

Contact email address for your products
(for example, sales@company.com)
* Required

Contact phone number for your products
(xxx) xxx-xxxx

Manual Registration

Please verify that this is a manual registration by typing in the code shown below. We do not accept automated registrations from 3rd-party submission sites. By entering the code below, you are telling us that a human is submitting this product.

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