JB Hub Request Form

Please provide your Johnson Brothers account information and select your customer preferences below.

New customer? Please visit our corporate site for more information or submit a new account form.
Your Name*

First NameLast Name
Account Name (DBA)*
Account #
Account # can be found on your invoice.
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
Address*
City*
State*
If your state is not listed, JB Hub is currently not available.
Zip*
YesNo
Email*
example@example.com

On-Demand ACH Payments
*Accessible through JB Hub. Not available for COD customers. (Payer access)Auto Bill Pay ACH
*Funds withdrawn on invoice due date. COD funds drawn next business day.
Auto Bill Pay ACH
*Funds withdrawn on invoice due date. COD funds drawn next business day.
Johnson Brothers Autopay ACHJohnson Brothers On-Demand ACHThird Party (ie: iControl, EFT, Fintech)CODCheck

Email Newsletters
Be the first to hear about new products, deals, limited items, and more!

Yes, Enroll in E-Blasts
If you need access to multiple accounts on JB Hub, please list the account names and numbers here:
Please Note: Invoices that are scheduled with another electronic format will be unavailable to be paid through JB Hub.
Online On-Demand ACHAutopay ACH
Sales ConsultantJohnsonbrothers.comMailer/FlyerEmail MarketingCustomer ServiceCredit Dept RepresentativeDelivery DriverTrade ShowOther
Online orderingView invoices and creditsOnline ACH paymentsCheck pricing and product availabilityView order historyOther
Sales Consultant Name
Notes:
Please verify that you are human*
Should be Empty: