Inventory Management Program (IMP) Registration Form

Thank you for choosing to sign up for AcuCal’s IMP. This service is now available for those of our customers who wish to access their inventory online. Please have your current customer number handy
for this registration process. If your organization has more than one customer number, you will need a separate registration for each customer number.

To register, simply fill out this form and click Submit. You will receive an authorization that we have received your registration form via e-mail within 12 hours. You will then receive your new user ID and password within 24 hours:

*(denotes required field)

Your Information:

Your Name: *

Company Name: *

Customer Number: *

Telephone Number: *

Email Address: *

Create Password:

Confirm Password:

Management Options:

Choose One:

Tier 1 Cost: $9.95/mo
This level includes basic status search capability & recall reports


Tier 2 (unavailable)


Tier 3 (unavailable)

Payment Options:

Choose One: *

Visa


MasterCard


American Express

Account Number: *

Expiration Date: *

Name exactly as it appears on your card: *

Billing Address (must match your account statement): *

To register, simply click Submit. You will receive an authorization that we have received your registration form via e-mail within 12 hours. You will then receive your new user ID and password within 24 hours:

CAPTCHA Code: *