purchasing group verification

Purchasing-Group (Verification)

This form is add your Organization's "Purchasing Group CODE" to your PRO-SHOP Account.

By filling and submitting this form you acknowledge the products sold by Blueray XL LLC. are for swimming pool service companies and Brick & Mortar pool supply stores/dealers only, and are not authorized for internet resale.

* Indicates required field

Full Name -- (As it appears in your Organization's records) *

First

Last

YOUR ORGANIZATION'S NAME *

PURCHASING GROUP CODE *

Your Company Name or Location Code -- (As it appears in your Organization's records) *

Your Address (As it appears in your organization's records) *

Line 1

Line 2

City

State

Zip Code

Country

Email (used to register in PRO-SHOP) *

Company Phone Number *

Comment *

I agree to receiving marketing and promotional materials

Submit