New Customers

Please note we are a wholesaler and only sell to auto electric businesses. We do not sell to the end user.

Email Address:*

Password:*

Confirm Password:*

Customer Information

Business Name:*

First Name:*

Last Name:*

Phone Number:*

Fax Number:

Bill To Street 1:*

Bill To Street 2:

Bill To Street 3:

Bill To City:*

Bill To State/Province:*

Bill To Postal Code:*

Bill To Country:*

Bill To Same As Ship To?

Ship To Street 1:*

Ship To Street 2:

Ship To Street 3:

Ship To City:*

Ship To State/Province:*

Ship To Postal Code:*

Ship To Country:*

Current Suppliers:

Account Type Requested:

Pay By Credit Card - IMMEDIATE ORDERING AFTER ACCOUNT APPROVAL.
Pay By C.O.D. - ORDERS SHIPPING BY COURIER WILL INCUR A C.O.D. FEE OF $15.50.
Net 30 Terms - OPEN ACCOUNT REQUIRES MINIMUM OF 2 CURRENT SUPPLIERS. TAKES UP TO 1 WEEK TO PROCESS.

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