NGCdirect Account Request Form

The completed Account Request Form is step one in becoming an approved business account purchaser with NGC. An NGC representative will contact you within 24 business hours to set up a call to complete the registration process. Please note that your account will not be activated for purchasing gift cards until you speak with NGC directly.
Thank you.

Note: All fields marked with an asterisk ( * ) are required.

Company / Contact Information

Your Gift Card Program

How will the cards be used? *

Billing Information

Shipping Information