To create an account, complete your contact information below:


*First Name: *Last Name:
*Phone Number:

Account Information:

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

Dealer/Contractor Information:

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


* Postal Code:   

OR    * Dealer Name:   

*Your Role:

Distributor of Choice:

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


* Distributor Name:

Personal Information:

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


       
*Home Address Line 1:   No PO BOX
Home Address Line 2:
*City: *State:
*Postal Code:
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 participate in our product registration rewards program and receive your reloadable prepaid card.
SSN: Verify SSN:
Date of Birth:   (MM/DD/YYYY)
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