Request Access For Existing OEM Account

*Required Field

User Information

Your email address will be your username to login. This address will be the main method of contact. If you are a current SearchLight user, please use the same email address to maintain saved data.

First Name *

Last Name *

Job Title*

Email (User Login) *

Company Information

Company Name *

Website

Billing Address

Address Line 1 *

Address Line 2

City*

State*

Postal Code*

Country *

Phone*

Shipping Address

Same as billing address?

Yes

Address Line 1 *

Address Line 2

City*

State*

Postal Code*

Country *

Additional Information

If known, please enter any of the following information to help us identify your associated company account.

Your Customer Number

Recent Purchase Order Number

Recent Invoice Number

I would like to opt in for marketing communications from IDEX Health & Science and I understand that I will be able to unsubscribe from these communications at any time.

Yes, I would like to receive marketing communications
No, I would not