DealerFirst! Registration Page

Complete This Form To Register for DealerFirst!
Company Name*
Shipping Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Billing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Contact Name*
Phone Number*

Area CodePhone Number
Fax Number

Area CodePhone Number
E-mail*
Website
How did you hear about us?
Please tell us about your business:
Which product lines do you currently offer or install?
Please include a copy of your business license, contractor license, or tax resale certificate along with this application. A copy of the actual document must be submitted. We cannot accept the number alone. All California dealers must provide a California Resellers Certificate otherwise Home Controls must collect sales tax.
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DealerFirst! Authorization. By submitting this form, you are registering in the Home Controls DealerFirst! Program. You certify that you are an installing dealer and the products you purchase will be for resale and installation. All information provided on this application is true and accurate.

NOTE: The DealerFirst! program is available only to companies within the United States, Canada and Mexico.
Disclaimer: By providing my phone number to “Home Controls Inc.”, I agree and acknowledge that “Home Controls Inc.” may send text messages to my wireless phone number for any purpose. Message and data rates may apply. Message frequency will vary, and you will be able to Opt-out by replying “STOP”. For more information on how your data will be handled please visit https://www.homecontrols.com/privacy-policy.

I agree and acknowledge.
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Complete This Form To Register for DealerFirst!