Customer Information Update Form

**Complete all sections that require a change. Fields with an * are required. The Submit button will not appear until the required fields are completed.**
Ownership and/or business name change
If there is an ownership change and/or a name change to the business, please submit an updated application by using the correct link below:

Online Credit Account Form

Online Cash Account Form
Mailing address
Account name:
Account number:
Current address:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
New address:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Contact information
Remove contact name:
First Last
Remove contact phone number:
Remove contact email address:
Add contact name:
First Last
Add contact title:
Add contact phone number:
Add contact email address:
Change/add email address(es) for invoicing and statements:
Email address(es) for Invoices:
Email address(es) for Statements:
Name of person requesting change(s)
Name:*
First Last
Phone number:*
Email address:*
Effective date of change(s)
Date Format: MM slash DD slash YYYY
Additional information
Let us know how we can help you further.
Are you a robot?*
Comments
This field is for validation purposes and should be left unchanged.

Find all of your residential and commercial plumbing supplies at any of our 6 locations

Stop into one of our locations to view our variety of plumbing supplies or to consult with a professional about your plumbing needs. We know that your time is valuable, so we offer Express Counter Pick-Up service for plumbing supplies ordered via phone or fax prior to your arrival in-store. Call today for more information!

Camp Hill

2058 Hummel Ave.
Camp Hill, PA 17011
Carlisle

225 York Road
Carlisle, PA 17013
Hanover

816R McAllister St.
Hanover, PA 17331
Harrisburg

3901 Rear Derry St.
Harrisburg, PA 17111
York

575 Maryland Ave.
York, PA 17404
Baltimore

1716 Whitehead Road, Suite A
Woodlawn, MD 21207

Customer Information Update Form

**Complete all sections that require a change. Fields with an * are required. The Submit button will not appear until the required fields are completed.**

Ownership and/or business name change

Mailing address

Contact information

Change/add email address(es) for invoicing and statements:

Name of person requesting change(s)

Find all of your residential and commercial plumbing supplies at any of our 6 locations

Camp Hill

Carlisle

Hanover

Harrisburg

York

Baltimore

Do you have specific questions? Contact us today!