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JoinMyOrder ®- Where Crowd Buying Meets Supplier Bidding ®

Create a
Purchase
Order
Attract
Other
Customers
Suppliers Bid
Accept Bid
Fulfill Orders
 
* Mandatory Fields
Company Information
First Name: *
User Name: *
Company Name: *
Agent Name: *
Number of Employees:
Annual Revenue: $
(e.g.: 50,124.94)
Tax ID:
Industry:
Last Name: *
Password: *
Website:
(e.g.: "http://www.example.com")
Email: *
State of Incorporation:
Date of Incorporation:
Dun & Bradstreet:
Description of Your Goods and Services: *
How did you hear about this website?
You offer financing to your customers?
Do you have credit insurance?
Are you interested in offering financing to your customers and/or credit insurance?
Company Address
Address 1: *
City: *
Country: *
Phone: *
(e.g.: (xxx) xxx-xxxx)
Address 2:
State:
Zip: *
Fax:
Head Office Address
Same as Company Address
Address 1:
City:
Country:
Phone:
(e.g.: (xxx) xxx-xxxx)
Address 2:
State:
Zip:
Fax:
Primary Contact
First Name:
Title:
Address 1:
City:
Country:
Phone:
(e.g.: (xxx) xxx-xxxx)
Email:
Last Name:
Department:
Address 2:
State:
Zip:
Fax:
Secondary Contact
First Name:
Title:
Address 1:
City:
Country:
Phone:
(e.g.: (xxx) xxx-xxxx)
Email:
Last Name:
Department:
Address 2:
State:
Zip:
Fax:
Third Contact
First Name:
Title:
Address 1:
City:
Country:
Phone:
(e.g.: (xxx) xxx-xxxx)
Email:
Last Name:
Department:
Address 2:
State:
Zip:
Fax:
Signature
Name: *
(e.g.: "John Smith")
eSignature: *
(e.g.: "/John Smith/")
 

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