NEW CUSTOMERS:

  1. We recommend new customers create a new user account (If you haven’t already done so). You can still apply for industry pricing without an account, but you will need to make an account to place your first order.
  2. After you have created a new account, return to this page and complete the application below.

EXISTING CUSTOMERS:

Please complete the application below in order to apply for industry pricing.

(Please note all fields marked by an * are required.)

COMPANY INFORMATION

BILLING ADDRESS

SHIPPING ADDRESS

CONTACT INFORMATION

If you are an existing FINTECH member, please ask for TWISTED ALCHEMY to be added as a vendor of yours.

EXISTING ACCOUNT INFORMATION

ADDITIONAL