New Customer Account Application

New Customer Account Application

Do you have a physical office or retail space?*

YesNo
Is your office or retail location the same as your mailing address?*

YesNo
Office/Retail Location Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mailing Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code

Documents required to open a Proline ProZone Account

You must provide the necessary documents for your account to be processed
- Driver’s License or Photo ID (Required)
- Business Tax Receipt - Occupational License - SunBiz.org filing (Required)
- Florida Resale Certificate (optional)
- Florida DBPR License (If required)
If additional information is required, one of our account managers will reach out to you.
Scan your documents
Upload Documents

Cancelof

Authorized Purchasers

The following individuals are authorized to make purchases on this account. You are responsible for notifying Proline Distributors with changes to authorized purchasers prevent unauthorized charges.

Do you want to add Authorized Purchasers to your account?
Authorized Person 1

First NameLast Name
Email
example@example.com
Authorized Person 2

First NameLast Name
Email
example@example.com
Authorized Person 3

First NameLast Name
Email
example@example.com

Proline Distributors: ProZone Account Terms & Conditions
New Account Terms and Conditions*
Delivery Authorizations*
Signature*
Should be Empty: