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New User Registration
 
To register to use the UPI On-line Customer Service Applications, please complete the registration form below.
Registration is for current UPI customers only.
Click here to view System Requirements, Terms of Use, Terms of Sale for reorders and excess prime, Terms of Sale for non-prime, and Privacy Policy.
 
 
  User Information   (* Denotes required information )
    First Name*:  
    Last Name*:
    Company*:
    Title:  
    Address 1*:
    Address 2 :
    City*:
    State:
    ZIP:
    (If you live outside of United State, select Province/Zone instead of state)
    Province / Zone: ( Required if a State is not selected above )
    Country: ( Required if a State is not selected above )
    Phone Number*:   Example:  999-999-9999  ext. 999999
    E-Mail Address*:
   
 

User Identification   (*Denotes required information)

 

Please enter a user name that will identify you to our system. The User Name you choose must be from 5 - 25 characters in length. You will be e-mailed a password to the address indicated above. You will change this password at initial log-on.

 
 
    User Name*:
 
  By clicking the "Submit Registration" button, you agree to the UPI Customer Service Application Terms of Use.
Submit Registration        Reset Form