a division of The Rooster® Group

Registration Information Sheet (1 of 2)
VIOS is for the use of The Rooster® Group's commercial customers only. This is a Business-to-Business site. If you are an individual who would like to purchase McGuire-Nicholas® products, please call us at 1-800-879-1333, or at 210-651-5288. If you wish to set up a commercial account with The Rooster® Group, please complete the form below. If your company meets all required criteria, a credit account will be set up for you and you will receive further instructions from us. All information will be held strictly confidential.

Company information
* Contact Name Title
* Contact E-mail
* Company Name * Full Address
* City * State
* Country * Zip code
* Phone Number Fax Number
* Federal Tax ID State Tax ID

If a subsidiary or D.B.A, please list the parent company information; if a corporation, list the full company name and address; if partnership or sole proprietorship, list principle name(s) and address.
Ownership Corporation   Partnership   Sole Proprietorship   D.B.A
Company Name Address
Phone Number
Name Title
Name Title
Estimated montly line of credit requested $
* Required Fields