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 this dealer application form.

To access dealer pricing, 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. In order to create an account, these 3 easy steps must be completed successfully:

1. All form fields must be completed.
After successfully submitting this form, you will receive an email confirmation and
additional forms depending on your account type choice (below) for you to fax back in.

2. An account manager will call you
to verify the information is accurate and determine if you meet the requirements to become an account holder.

3. Make a Purchase from your Account Manager.
By phone, email or walk-in, you will need to make an opening order from your account manager in order to be put into the system.
Once the order has gone through, your account will be fully activated and you will receive access to view deeply discounted pricing and place orders on this website.

Accounts payable information may be the same as primary contact.
Phone and fax may be the same number.
Mobile phone may be an after-hours telephone number.
Dunn and Bradstreet number may be zero if your company does not have a number.
Tax ID number may be zero if your company does not have a tax ID.

	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: 97bc3