PRE-REGISTRATION

Disclaimer: As EPCOM only sells to distributors and installers. If you are an end user, we can help you contact with your closest EPCOM distributor.

Distributor Company Information

Business Name *Required Field

Full Name

Federal TAX ID

Website

Email (Company's Director) *Required Field

Use the same email for all items below

Email ( Quotes )

Email ( marketing )

Email ( support )

Email ( Shipment Tracking )

Phone Numbers

Main Number *Required Field

Second Number

Cell Phone

Second Cell Phone

Tax Billing Address

Country *Required Field.

State *Required Field

City *Required Field

Zip Code

Street *Required Field.

Number

Reference Information

How did you hear about us?

Where buy your products?
*Required Field

Vendors and Suppliers you currently use
*Required Field

Please, describe your business in a few words *Required Field

Service type: Choose at least one option.

Upload Your Sales Tax ID: *Required Field

Upload...

or e-mail your Sales Tax ID to [email protected]

EPCOM only sells to distributors and installers, therefore, it is our policy to have a scan or clear photo of the current State Resale Certificate or Sales Tax Exemption Certificate for each account. Please upload the document in PDF format depending on where your company is based:

Texas - Texas Resale Certificate
Florida - State-issued Annual Resale Certificate
All other US states - State Resale Certificate or Sales Tax Exemption Certificate
International Customers - Your Country's Tax Registration

I agree to the Privacy Terms

This application is subject to review and approval.

FOR 8.2 004 VTS REV. 002 DATE REV. 24/10/2018.