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New Dealer Registration Information

PLEASE NOTE: Horizon Spa & Pool Parts, Inc. is a wholesale pool and spa parts distributor catering exclusively to the repair parts and equipment needs of service, repair, construction, and retail companies. We do not sell directly to the consumer.

All New Dealer Registrations will be verified to ensure the applicants are members of our industry and qualified to resell our products.

Dealer Information

Company		* Name or Company is required
Attention		* Attention is required
Address		* Address is required
City		* City is required
State	* State is required
Zip	* Zip Code is required Code format: 12345 or 12345-1234 Code format: X9X 9X9
Country
Email Address		* Email address is required
Phone Number		* Phone Number is required Phone number is in an invalid format.
Fax Number
Business License
What segment best describes your business services
		* Customer Category is required Customer Category is required
Which term of the following best describes your primary sales channel
		* Customer Group is required Customer Group is required

Check to enter shipping address if different from Billing Address

Shipping Information

Name or Company		* Name is required
Attention		* Attention is required
Address		* Address is required
City		* City is required
State	* State is required
Zip	* Zip Code is required Zip Code format: 12345 or 12345-1234 Postal Code format: X9X 9X9
Country
Phone		Phone number is in an invalid format.

Enter Password

Enter Password		* Password is required
Retype Password		* Please re-type your password

Payment Terms

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New Dealer Registration Information

Dealer Information

Tax Certificate Information

Shipping Information

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Payment Terms