Create an Account

To open an account with AMPM, you must fill out the following fields, including the complete address and telephone information of three trade references and your bank. Within a few days of submission, you will be contacted by a customer service representative to notify you of the status of your application.

Company Information
Company Name:
Contact Name:
Address:
City:
State:
Zip:
Phone:

Fax:
Email:
Website:
Type of Business:
Distributor:
Private Label:
End User:

Trade References
Reference 1
Company:
Address:
City:
State:
Zip:
Telephone:
Fax:

Reference 2
Company:
Address:
City:
State:
Zip:
Telephone:
Fax:

Reference 3
Company:
Address:
City:
State:
Zip:
Telephone:
Fax:

Bank Information
Bank Name:
Contact Name:
Street Address:
City:
State:
Zip:
Telephone:

Submit

Manufacturer of Quality
Aerospace Fasteners

158 Dam Hill Road
Millersburg, PA 17061
800-925-2126 USA
717-692-2120 Fax
717-692-3798 International
[email protected]

AMPM is a Division of Alvord-Polk Inc. of
Millersburg, PA. Other corporate divisions include...

NSF International
Strategic Registrations

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