C.O.D Application

Please fill out the below form to apply for a COD account with us.

You will also need to provide a resale certificate ONLY if sales are to be non-taxable. Please click the link for the state(s) in which you do business.


Business Name:

Contractor Lic#:

Mailing Address:

City, State, Zip:

,

Delivery Address
(If Different) :

City, State, Zip

,

Company Representative:

Phone:

Fax:

Cell Phone:

Email Address:

Geary Pacific Use Only:

Salesmen ID: Customer Type:
Price Code: Branch #:

 
Goodman Amana Honeywell Daikin Bard Modular Metals Emerson