EWay Request Form

www.eway.com

Why Order On-line Using E-Way?

· Easy to use and simplifies office products purchasing.

· Instantly view your pricing on over 40,000 online items.

· Immediate on-line Access to Invoicing & Product Purchasing Reports.

· Our robust search capability makes it easy to find what you are looking for.

· Create your own shopping lists – with favorite items at your fingertips.

· Powerful administrative tools to increase your ordering efficiency.

· Award-Winning Support.

Our success comes from preparing you for business. Your success comes from being prepared. Whether your company has 10 or 10,000 employees, E-Way is your solution for easy, flexible and powerful on-line office supply ordering.

To obtain a User ID and Password, simply fill out the following request form:

Entity Name:

Account Number:

(if an existing customer)

Dept / SPO #

Your Name First:

Last:

Street Address:

Room #

City:

State:

Zip:

Phone:

Fax:

Email:

Method of Payment

Credit Card		--Provide last 4 digits of Credit Card:
PO Account