To create an account, complete your contact information below:

* All fields are required. Please note, your session will expire in 15 minutes. Please complete your registration within this timeframe.


The following information is required in order to ensure your Panasonic HVAC Rewards reloadable prepaid card is mailed properly.


*First Name: *Last Name:
*Home Address Line 1:   No PO BOX
Home Address Line 2:
*City: *State:
*Postal Code:
*Phone Number:
*Job Title:

Personal Information:

Your SSN and Date of Birth (DOB) are not required at this time. However, you will need to provide your SSN and DOB in order to
receive a reloadable prepaid card.
*
       
SSN: Verify SSN:
Date of Birth:   (MM/DD/YYYY)
* For more information contact your Panasonic Sales Representative.

Certified Dealer Contractor Information:

To search for your employer, search by the employer's postal code OR name.


* Postal Code:   

OR    * Dealer Name:   

Distributor of Choice:

Select your company's distributor of choice for the purchase of Panasonic HVAC products.


* Distributor Name:

Account Information:

*Email Address:  This will be used as the USERNAME
*Password: *Confirm Password:
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