If you have all your company information in a separate file, you may upload it here:

    You can also email the file to newaccounts@mrjohnpit.com or fax it to 412-927-1290.
    *Company Name:
    Phone:
    Website:
    Billing Address:
    Shipping Address:
    Type of Business:
    DBA (if applicable):
    Year Founded
    Federal Tax ID #:
    Purchase Order Required:
    Monthly Statement Required:

    Preferred Invoice Delivery:
    Purchasing Information
    Purchasing Contact:
    Purchasing Phone:
    Purchasing Fax:
    Purchasing Email:
    Accounts Payable Information
    A/P Contact:
    A/P Phone:
    A/P Fax:
    A/P Email:
    Ownership Information
    Owner/Officer Name:
    Title:
    Trade References (3 Required)
    Company Name:
    Contact:
    Phone:
    Fax:
    Email:
    Company Name:
    Contact:
    Phone:
    Fax:
    Email:
    Company Name:
    Contact:
    Phone:
    Fax:
    Email: