Purchasing Cooperative of America

Please enter your desired username. Upon approval, you will be given a link to create a password.

"Doing Business As" - It's also referred to as your business's assumed, trade, or fictitious name. A DBA is different from your name as the business owner, or your business's legal, registered name. If none, type: None.

If you do not have one, put 0

If you do not have one, put 0

you may select up to 5 categoris +/or 'other'. (use other to type - in option not listed in deop-down.) To select multiple enteres, hold down the 'ctrl' key and choose your selection.

If non-U.S., please put full address here.

Texas Members are also required to submit a signed Interlocal Contract. After submitting this registration form, please obtain the agreement form from the Forms Tab; complete and email to members@pcamerica.org

Examples: company name & salesperson, emial form PCA, ad in which paper? website you discovered us on, ect.