Dealer Application

PAM Distributing™ Does Not Sell Retail

Submitting information does not gain you instant access to dealer pricing.

PAM Distributing has a business model based on the sale and service of electronic goods to Electronic Resellers & Integrators. We also support a class of customers with qualified Internal Security, IT or Loss Prevention Departments. If your company or organization meets the above criteria we invite you to complete our dealer application form.

You must be logged in --- An active account in good standing
as well as a valid, deliverable, email address for your company must be on file to access dealer pricing.

All form fields must be completed. Accounts payable information may be the same as primary contact. Phone and fax may be the same number, and mobile phone may be an after hours telephone number. Dunn and Bradstreet number may be zero if your company does not have a number and tax ID number may be zero if your company does not have a tax ID.

After successfully submitting this form, you will receive email information regarding the completion of Dealer activation. Upon successful activation you will be able to log in to this website and view deeply discounted pricing for all items featured on this website.

	Company Information
Primary Contact:	First Last
Contact Email Address:
Company Name/DBA:
Billing Address:
City:
State:
Zip:
Shipping Company:
Shipping Address:
City:
State:
Zip:
	Contact Information
Business Phone:
Business Fax:
Mobile Phone:
Accounts Payable Contact:	First Last
Accounts Payable Email Address:
	Business Information
Company Type:
Desired Account Type:
Desired Credit Limit:
Function of Business:
Estimated Monthly Sales:
Year Business Established:
Years at Present Location:
Years at Previous Location:
Type of Business Location:
Dunn and Bradstreet Number:
Sales Tax Exempt Number:
Bankruptcy in Past 7 years:
Will Purchases be for Resale:
Type of Equipment Purchasing:
How did you hear about us?
Pam representative spoken with:
Enter Security Code: a9c8a