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Pittsburgh Sports

2417 Walnut Street

McKeesport PA 15132

To buy wholesale from us we will need the following information from you.

Your Name _______________________________________

Company Name_______________________________________

Billing Address _______________________________________



Phone Number _______________________________________

Fax Number _______________________________________

Email Address _______________________________________

Tax ID # _______________________________________

Ship to Address (Must be same as billing if paying by credit card)




Preferred payment method: Check/Money Order____Credit Card_____

If paying by credit card our bank will no longer accept credit card transactions without a signature on file with our company. Please sign the statement below for future use and return to attention Wholesale Account Manager to our address listed at the top of this page or fax to 412-672-6262.

Thank you for you cooperation with this matter

I, the undersigned authorize Pittsburgh Sports to use my credit card for transactions for Pittsburgh Sports as per my purchase orders.

_________________________________ Date:_____________________________


__________________ Credit Card #________________________

Print Name

Expiration Date:______________________

CVVS #___________

(The last 3 digits on the signature panel on the back of your credit card)

If paying by AMEX we need the last 4 digits listed above your credit card

Number on your credit card. If you have any questions about this please let us know.

Credit Card Holders information as it appears on the card

You can either fax this information to 412-672-6262

or send to

Pittsburgh Sports

2417 Walnut Street

McKeesport PA 15132

Also, please fax or send us an actual copy of your tax identification form.

Upon receipt of this information we will email you a wholesale username and password that you can use on our website to access our wholesale prices. We look forward to doing business with you.

If you have any questions please call us anytime between 9AM and 5PM Monday thru Friday at 1-800-752-7995.

Thanks, Wholesale Account Manager (Pittsburgh Sports)

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