Become an Authorized PCT Solutions Dealer
Fill out the form to be added to our dealer program.
Date
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Month
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Day
Year
Today's Date
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Year
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Month
Day
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Your Name
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First Name
Last Name
Company Name
Tax ID
ONLY if you have one
Phone Number
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Area Code
Phone Number
Your Email Address
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Please enter the business owners/officers information
Information entered must match exactly with company's business license, tax papers, and bank account.
Owner 1 Name
First Name
Last Name
Owner 1 Title
Owner 2 Name
First Name
Last Name
Owner 2 Title
Billing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Ship-to Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business type
Cable TV Installation Contractor
Satellite TV Installation Contractor
Electrical Installation Contractor
Home Automation Installation Contractor
Audio/Video Installation Contractor
Security & Surveillance Installation Contractor
Brick & Mortar Store
Online Store
E-Commerce 3rd Party (Amazon, eBay, Etc.)
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