Club P Sign-Up Card
*Required Fields must be completed before form will submit.
All information provided in this form will be used to update your existing information with Club P.
*Member Info check one)
I am already a Club P Member and my # is .
I am not a Club P Member and I need a #.
*Company Name
*Contact Name
*Mailing Address
*City
*State / Province
*Zip / Postal Code *Country
*Telephone
*Area Code () -
*  [US & Canada: (3 numeric digits) 3 numeric digits - 4 numeric digits]
*  [Australia: (1 numeric digit) 4 numeric digits - 4 numeric digits]
Fax
  Area Code () -
    [US & Canada: (3 numeric digits) 3 numeric digits - 4 numeric digits]
    [Australia: (1 numeric digit) 4 numeric digits - 4 numeric digits]

Yes, I want to receieve my statement by email and get 50 Club P points

*E-Mail

Web Site Address
*Business Type I am a:
(check a many as apply)
Retailer
Builder
Service Organization		   *My primary sales are made as a:
(check only one)
Retailer
Builder
Service Organization
Branch Locations






**If you have more than 5 Branch location please mail/fax your Company Name, Contact Name, Address, and Telephone to:

Attn: Club P
2620 Commerce Way
Vista, CA 92081-8438
Fax:1-877-327-1403



All pricing listed in U.S. dollars. Rewards, award levels, terms and conditions subject to change or cancellation at any time.
www.ClubP.info