Corporate Account Registration

Applying for corporate account:

Advantages: Get special bulk pricing and shipping rates upon approval.

How to apply: Fill out the form below, once our office approves your application you will receive an email confirming that your account has been activated.

Requirements/Limitations:Minimum order for corporate accounts is $800.00. Certain corporate account can qualify for credit limits.

Already have a corporate account? Click here to log in.

Personal Information

*First Name

*Last Name
*Email Address
*Create Password

*Confirm Password

Additional Information

Salesman

*Payment Method

Credit Card

Net 30

Estimated monthly purchase
We purchased from A & Y Electronics in the past
*How would you describe nature of your business?

Enter business description

Credit Application

Please list 3 companies you have had credit with for at least 2 years

Reference #1

Company Name
Street Address
City

State/Province
Zip/Postal Code

Phone
Email

Account #

Reference #2

Company Name
Street Address
City

State/Province
Zip/Postal Code

Phone
Email

Account #

Reference #3

Company Name
Street Address
City

State/Province
Zip/Postal Code

Phone
Email

Account #

Bank Information

Bank Name

Account Number
Branch Number

Bank Phone

* Required Fields