Open a New Account with LJS

Once you have submitted your new account information, an LJS Representative will contact you to review your new account and pricing information. Or call LJS at 410-551-2666 or 301-621-7500.

Company Information
* Name of Company:
* Office Name:
* Office Phone Number: --

Agent Information
* Your First Name:
* Your Last Name:
* Email Address:
* Cell Phone Number: --
* Home Address Line 1:
  Home Address Line 2:
* City:
* State:
* Zip Code:

I want to place an installation order immediately! (Check to display ordering information)

Property where Sign is to be Installed
* Address Line 1:
  Address Line 2:
* City:
* State:
* Zip Code:
* County:
ADC Map Grid: / /
page number/grid letter/grid number
  * Please enter at least the county name. If ADC map page information is available, entering it with the county will be helpful.
  Add a brochure box:
* Please indicate any hazards present and what you have used to mark a safe location to install the sign.
 If we do not carry your company's sign yet, did you leave a sign and any riders for us to install at the property?
  If yes, where did you leave them?

Payment Information
* Name on Card:
* Address Line 1:
  Address Line 2:
* City:
* State:
* Zipcode:
* Card Number:
* Card Type:
* CVV:
* Expiration Date:

Once your account is opened you will receive a Welcome email from LJS & Associates, Inc.