Dealer Sign-up Form

Please complete the following form. You will receive your dealer logins within 24 hours. Logging in as a dealer will allow you to view special dealer pricing.

Company Name
Contact Name
E-mail
Phone
Fax
Alt Phone
Street Address
City 
State Zip Code
   
Business/Resale Lic. #


Faxed copy required before logins can be issued. Fax to: 310-305-0465

Login Username
Password
(6-8 characters - include at least one number)
 
   

 


 
© 2006 OtisIncLA.com
Otis Inc, LA .:. 4712 Admiralty Way #429 .:. Marina del Rey, CA. 90292
fax- 310.305.0465 .:. email - sales@OtisIncLA.com