Become a Protection Plus Distributor

**NOTE**
In addition to registering your company on-line you MUST fax or mail in a W-9 and a Certificate of Insurance. Until these are received your enrollment will not be complete.

Company Contact Information

Company Name: Contact Name: Contact Title: - Select Title - Owner Manager Contact Address: Suite / Box: City: Federal tax ID: State: - Select your State / Province - ALABAMAALASKAALBERTAARIZONAARKANSASBRITISH COLUMBIACALIFORNIACOLORADOCONNECTICUTDELAWAREDISTRICT OF COLUMBIAFLORIDAGEORGIAHAWAIIIDAHOILLINOISINDIANAIOWAKANSASKENTUCKYLOUISIANAMAINEMANITOBAMARYLANDMASSACHUSETTSMICHIGANMINNESOTAMISSISSIPPIMISSOURIMONTANANEBRASKANEVADANEW BRUNSWICKNEW HAMPSHIRENEW JERSEYNEW MEXICONEW YORKNEWFOUNDLANDNORTH CAROLINANORTH DAKOTANORTHWEST TERRITORIESNOVA SCOTIANUNAVUTOHIOOKLAHOMAONTARIOOREGONOUTSIDE CANADAPENNSYLVANIAPRINCE EDWARD ISLANDPUERTO RICOQUEBECRHODE ISLANDSASKATCHEWANSOUTH CAROLINASOUTH DAKOTATENNESSEETEXASUTAHVERMONTVIRGIN ISLANDSVIRGINIAWASHINGTONWEST VIRGINIAWISCONSINWYOMINGYUKON TERRITORY Postal Code: Phone Number: Fax Number: Email Address:

Company Distributor Information

Please select the brands you are currently authorized by the manufacturer to sell: Rheem®: check if you are authorized to sell Rheem products Ruud®: check if you are authorized to sell Ruud products WeatherKing®: check if you are authorized to sell WeatherKing products Sales Manager: the name of your district sales manager Distributor #: ID assigned to you by the manufacturer

Requested Login Information

Requested Login: Password: Verify Pass: verify your password Reminder Question: - Select a Reminder Question - What is your pet's name?What is your mother's maiden name?What is your favorite color?What is your city of birth? Reminder Answer:

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