New Customer
Please fill out the following information

Billing Information

Please enter your billing information as it would appear on your credit card statement.
* Required information

Shipping Information

Please enter the address where your packages will be shipped.
My billing and shipping information are the same.
* Email Address:
* Password:
* Confirm Password:
* First Name:
Middle Name:
* Last Name:
Company / Institution:
* Address Line 1:
Address Line 2:
* City:
* State:
* Zip Code:
* Country:
* Daytime Phone:
I am over 18 years of age: Initials:
Birthdate (MM/DD/YY): //
Referral Source:

(How you heard about Westfield)
Emailing List: Send me Westfield update notices via email.
Paper Catalog: Send me the Westfield paper catalog in the mail.
Company / Institution:
Ship Name:
* Address Line 1:
Address Line 2:
* City:
* State:
* Zip Code:
* Country:
 

Mailing Information

Please enter the address where your catalogs will be mailed.
My billing and mailing information are the same.
Company / Institution:
Mail Name:
* Address Line 1:
Address Line 2:
* City:
* State:
* Zip Code:
* Country:
 

Shipping Preference:

(Applies only to orders with Advance-Order Product.)
HOLD: By choosing this, you are telling us, "If I have not placed a regular advance order for the corresponding month, please hold all items until everything has arrived or I place another order and do not charge me for an extra shipment."
RELEASE: By choosing this, you are telling us, "Please send any available items each month, even if I haven't placed a regular order." (Requires a valid credit card on file, which will be charged $5.00 for the single extra shipment of available items for that month.)

 

Payment Information (Bill When Ship)
 Acceptance Mark

NOTE: Due to ongoing problems, we're unable to accept credit card payments from our customers in Indonesia, Malaysia, Nigeria, Ukraine and Singapore, and we can only accept PayPal payments. We regret any inconvenience this may cause.
Payment Type
Credit Card Number
Expiration Date
 / 
CSC:  (click here for info)