Become an IAQMD Dealer

Below is an application form. Once your application is submitted and reviewed, you will be contacted via e-mail or phone for final approval.

Company Name	*
Contact Name	*
Telephone
Fax
Email Address	*

	Billing Address
Street
City
State
Zip

	Shipping Address
	Check if same as billing
Street
City
State
Zip

Check here if you prefer to pay via credit card. Notice - you do not have to submit your credit card information online. This can be over the phone with a IAQMD representative.
Check here if you prefer to apply for net 30 credit terms.

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Additional Comments

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Please Note : This website and our services are for registered HVAC companies and contractors only. For all residential inquiries, please visit your local authorized dealer.