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Apply for a PCI Account

 

Thank you for your interest in PCI. Our web site is designed to facilitate business between PCI and our wholesale customers.  However, a large portion of our site is not available to the public.  

To take full advantage of our online catalog and gain access to the secure areas of the site, you must first apply for a PCI account.

You may download the PCI Application below, which is available in Adobe Acrobat format.  If you do not currently have Adobe Acrobat, a link is provided below. You may also apply via our online application located below the printable application. Our online application is intended for COD-Money Order, Credit Card, and Drop Ship accounts only. If you would like to obtain a COD-Company Check or Net Terms, please print and fax the full application previously mentioned.

 

Printable Application

To download a copy of the application, right click the download link below and choose 'Save Target As' and save the PDF to your drive. The downloaded application is needed only if you are looking for Terms or a COD-Company Check account.  For a Credit card or other COD account please fill out the online application form below. If you are interested in a drop ship account, click here.


  • Download Now 
«-- Download the PCI Application (right click and choose 'Save Target As')
Get the Adobe Acrobat Reader «-- If you do not have Adobe Acrobat reader, click here to download it now.

Once you have downloaded the PCI Application, print a copy and fill in the information and fax the filled out PCI Application to (817)  654-6970.

 

If you do not wish to utilize the printable application, you may also apply via our online form below. Fill out the form below and a PCI representative will contact you to confirm your PCI Application and complete your account setup process. If you would like to obtain a Net Term account, please print and fax the full PCI Application available at the top of this page.



Apply for a PCI Account

Thank you for your interest in PCI. Our web site is designed to facilitate business between PCI and our wholesale customers.  However, a large portion of our site is not available to the public.  

To take full advantage of our online catalog and gain access to the secure areas of the site, you must first apply for a PCI account.

You may download the PCI Application below, which is available in Adobe Acrobat format.  If you do not currently have Adobe Acrobat, a link is provided below. You may also apply via our online application located below the printable application. Our online application is intended for COD-Money Order, Credit Card, and Drop Ship accounts only. If you would like to obtain a COD-Company Check or Net Terms, please print and fax the full application previously mentioned.

 

Printable Application

To download a copy of the application, right click the download link below and choose 'Save Target As' and save the PDF to your drive. The downloaded application is needed only if you are looking for Terms or a COD-Company Check account.  For a Credit card or other COD account please fill out the online application form below. If you are interested in a drop ship account, click here.


  • Download Now 
«-- Download the PCI Application (right click and choose 'Save Target As')
Get the Adobe Acrobat Reader «-- If you do not have Adobe Acrobat reader, click here to download it now.

Once you have downloaded the PCI Application, print a copy and fill in the information and fax the filled out PCI Application to (817)  654-6970.

 

Online Application Form

If you do not wish to utilize the printable application, you may also apply via our online form below. Fill out the form below and a PCI representative will contact you to confirm your PCI Application and complete your account setup process. If you would like to obtain a Net Term account, please print and fax the full PCI Application available at the top of this page.

Online Application
Leave this field empty
*Type of Business-  
*What type of account are you looking for?-  
Web Site URL-
*Interests-  
* Your Full Name-  
* Company Name-  
* Requested User Name-  
* Requested Password-  
* Company Tax ID Number-    Enter numbers only, no dashes [ - ]
Email-  
* Phone-   ()
Fax- ()
*Would you like to receive our newsletter-   Yes No
*Newsletters if the above is yes then please pick the newsletters that you would like to subscribe too- CTRL key to select multiple newsletters
Referred By -
                or
Enter the Billing Address for your organization below.  This does not have to be a physical address.  It may be a PO Box.
* Street Address Line 1-  
  Street Address Line 2-
* City-  
* State-  
* Postal Zip-  
* Country-  
Enter the Shipping Address for your organization below.  This CAN NOT be a PO box.  The address must be a physical address.  The Shipping Address is only required if it is different from the Billing Address or if the Billing Address is a PO Box.
*Street Address Line 1 (can not ship to PO box)-  
Street Address Line 2-
*City-  
*State-  
*Postal Zip-  
*Country-  

If you have any questions or comments, please feel free to contact us by phone at 1-800-245-4411 or email us at pciwholesale@teletouch.com.

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