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PRINTERS & STATIONERS, INC.

SIGN UP FORM FOR ONLINE ORDERING

Please Note All Fields Are Required!

                        Company Name:                                

                        Account Number:

                        Contact Name:     

                        Phone Number:   

                        E-Mail Address: 

                        User Name:(example: bsmith)

                        User Password-Must be at least 6 letter or numbers

                        Department Name/Number

                        PO Number Required?          YES          NO

                        Please Enter Your Name:

                        By entering your name in the field above you give us authority to enter your information into our system for the purposes

                        of online order entry. Our privacy policy is that we will not share or give this information to anyone. This data is strictly for

                        PSI's use only.

                      Today's Date

                        You will receive an e-mail confirmation upon completion of set-up! Go to our website @www.psi-online.net and choose

                        online catalog or wait a few seconds and you will be redirected to the order entry site.