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*Required Fields

Company Name:*

Buy Wise Customer Number:*

First Name:*

Last Name:*

Address:*

City:*

State:*

Country:*

Zip Code:*

Mobile #:

Phone #:*

Email:*

Confirm Email:*

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Password should be at least 8 characters and contain at least one uppercase and lowercase letter, one number, and one symbol.

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Promo Code:

Security Questions: *

Complete the security questions below. These answers are used to verify your identity when contacting customer care for assistance.

Question 1:*

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Question 2:*

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Question 3:*

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Use of Your Personal Information: The information provided by you (above) and other information that may be provided by you from time to time, as well as information about your transactions and redemptions, and any information captured whenever you make a qualifying purchase is required to award and administer your Buy Wise Parts Perks account and maintain the accuracy of your information. In order to administer the Program, your personal information will be transferred from Buy Wise Auto Parts to Lift & Shift and vice versa.

Other Use of Your Personal Information: The information provided by you (above) and other information that may be provided by you from time to time may be used by us for the additional purposes of sending you marketing and promotional offers, including sales, special events and promotions. If you do not wish your information to be accessed or used for these additional purposes, you may contact our Privacy Officer in writing at the address or email address below:

Privacy Officer
PO Box 273
West Seneca, NY 14224
Email: rewards@buywisepartsperks.com.

Terms:* By submitting this form you:

Certify that you are over the age of majority in the state in which you reside;
Consent to our collection, use and disclosure of your personal information except as you may otherwise notify us, as described in our Privacy Policy and summarized, above and
Agree to the Terms and Conditions of the Buy Wise Parts Perks Program, as they may be amended from time to time.

I have read and agree to the Terms & Conditions and Privacy Policy and understand that by joining the Buy Wise Parts Perks Program, I am also signing up for the email program.