Account information
Your preferred username; punctuation is not allowed except for periods, hyphens, and underscores.
A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.
Provide a password for the new account in both fields.
Company Information
The content of this field is kept private and will not be shown publicly.
Your first and last name The content of this field is kept private and will not be shown publicly.
A telephone number to contact you, with area code
You must have a Pacific Mat Account to access the store. Please enter it here. You can apply for an account here if you don't have one. The content of this field is kept private and will not be shown publicly.
CAPTCHA
This question is for testing whether you are a human visitor and to prevent automated spam submissions.
Image CAPTCHA
Copy the characters (respecting upper/lower case) from the image.

 Having trouble finishing the CAPTCHA?  Please email us @ info@pacmat.com and we'll manually enter the account for you.  Please provide all the required details so that we may create the account, and we will contact you as soon as it's created.  Sorry for the inconvenience.