New Member Account

Name: Dot It
Address: 4332 Empire Rd 76155, Fort Worth, TX
Telephone: 1-800-642-3687

Full Name *

This is a required field.
Email *

Please enter a valid email address (Ex: johndoe@domain.com).

This will also be your login name. We will email you your default password.
Portal
Company/Business Name
Store Number
Franchise Name *

This is a required field.
Referred by (if applicable):
Attach Tax Exempt Form
Web Portal email *

This is a required field.
Billing

Call or email to add additional addresses.
800.642.3687 | csr@dotit.com
Billing Address *

This is a required field.
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Accounts Payable Phone Number *

This is a required field.
Accounts Payable Contact Person *

This is a required field.
Accounts Payable Email *

This is a required field.
Shipping

Call or email to add additional addresses.
800.642.3687 | csr@dotit.com
Is Shipping Address the same as Billing Address? *

Ship To Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country

Ship To Phone Number

Shipping Business Name

Additional Comments

Physical Location

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country

Dear Customer,