{"label_form_first_name":"First Name *","label_form_last_name":"Last Name *","label_form_phone_no":"Contact Phone Number *","label_form_phone_ext":"ext","label_form_email_address":"Contact Email Address *","label_form_org_name":"Organization Name *","label_form_user_role":"Occupation/Role *","label_form_user_id":"Preferred User Id *","label_form_man":"Medline Account Number *","label_add_more_man_link":"When requesting multiple accounts, please enter all accounts separated by commas","label_form_sr_name":"Sales Representative Name","label_form_sr_id":"Sales Representative Id","label_form_comment":"Comment","label_form_address1":"Account Address 1 *","label_form_address2":"Account Address 2","label_form_city":"Account City *","label_form_state":"Account State *","label_form_zip":"Account Zip *","label_man_selection":"Users are required to have a Medline account number as part of the registration process.","label_man_yes":"I have a Medline account number","label_man_no":"I do not have a Medline account number","label_signup_form":"

If you are already a Medline customer, complete and submit the following user registration form. You will be contacted with your online User ID and Password within 24 hours (during normal business hours... Monday through Friday, 7:00 AM to 5:45 PM CST). If you have questions, please contact our customer service department at (800) 835-8239.

","label_form_man_message":"If you have more than one Medline account number, enter them all separated by commas.","label_submit_button":"Submit","label_cancel_button":"Cancel","user_roles":"Administrator~Assistant Director of Nursing~Business Manager~Buyer~Central Supply Director~Chief Executive Officer","err_msg_req_form_first_name":"First Name is a required field.","err_msg_req_form_last_name":"Last Name is a required field.","err_msg_req_form_phone_no":"Contact Phone Number is a required field.","err_msg_req_form_email_address":"Contact Email Address is a required field.","err_msg_req_form_org_name":"Organization Name is a required field.","err_msg_req_form_user_role":"Occupation/Role is a required field","err_msg_req_form_user_id":"Preferred User ID is a required field.","err_msg_req_form_man":"Medline Account Number is a required field.","err_msg_req_form_sr_name":"When requesting access to a group, the name and id (rep number) of the associated sales representative are required.","err_msg_req_form_sr_id":"When requesting access to a group, the name and id (rep number) of the associated sales representative are required.","err_msg_req_form_address1":"Address 1 is a required field.","err_msg_req_form_city":"City is a required field.","err_msg_req_form_state":"State is a required field.","err_msg_req_form_zip":"Zip code is a required field.","err_msg_alphanumeric_form_first_name":"First Name should contain only alphanumeric characters.","err_msg_alphanumeric_form_last_name":"Last Name should contain only alphanumeric characters.","err_msg_alphanumeric_form_org_name":"Organization Name should contain only alphanumeric characters.","err_msg_alphanumeric_form_sr_name":"Sales Representative Name should contain only alphanumeric characters.","err_msg_alphanumeric_form_sr_id":"Sales Representative ID should contain only alphanumeric characters.","err_msg_invalid_phone_number":"The Phone Number format is invalid.","err_msg_invalid_phone_ext":"The Phone Extension format is invalid","err_msg_invalid_email_address":"The Email Address format is invalid.","err_msg_invalid_user_id":"The requested user id is not available. Please change the user id and try again."}