Dealer registration
Please only complete if you are a retailer, catalog or online product distributor with a valid resale certificate.

Please fill in all required information and click Submit. If approved by Angeles, you will receive confirmation email and have access to dealer section of website.

Required fields are marked with *.

Name :: Enter your name.
 
Username :: Enter your username.
 
Email :: Eneter your email
 
Password :: Eneter youe password
 
Verify password :: Enter your password again for verification
 

Dealer Name :: Enter your company name.
 
Phone :: Eneter your phone number
 
Address :: Enter your address.
 
City :: Enter your city.
 
Country :: Select your country.
 
State :: Select your state.
 
Zip :: Enter your zip code.
 
Fax :: Enter your fax number.
 
Website :: Enter your website address.
 

Contact Name :: Enter contact name.
 
Title :: Enter contact title.
 
Email :: Eneter contact email
 
Email :: Eneter contact phone number
 






Products of interest :: Please select products of interest.
 
Where business is conducted :: Select state or states where business is conducted
 
Name :: Enter name(s) of state(s).
 





Marketing Methods :: Please check all that apply.
 





Primary Markets :: Check all that apply.
 

Inside Sales Reps :: Please seklect the number of your inside sales reps.
 
Outside Sales Reps :: Please enter the number of your outside sales reps.
 

Annual Sales Volume :: Select your anual sales volumes.
 

 





Additional Request Needs :: Please select additional request needs.