Magna-Tel Register

This information is used to verify that you are a valid distributor and will not be passed on to other companies.

We may also ask you to fax your resale certificate for verification purposes.

*Required Fields

Company Name*

First Name*

Last Name*

Title*

Address 1*

Address 2

City*

State*

ZIP Code*

Phone Number*

Fax Number

E-mail*

PPAI /ASI/UPIC/SAGE #

Regional Association MemberYesNo

Resale Certificate Number

Username*

Password*Password must be 6 to 15 characters long

Confirm Password*

Magna-Tel Subscriptions

Magna-tel Sales and Specials Yes, I would like to receive emails about sales, specials or other information from the Magna-Tel Line.