Service Center Application

If you have already received a reference number and you are looking to check the status of your application, please enter your reference number here.
Please fill-in/select all information.
Application Type:	Service Dealer Independent Servicer	Type Descriptions
Company Name:
Company Street Address:
Company City:
Company State:		Please use two letter abbreviation.
Company Zip:
Contact Name:
Contact Email:
Contact Phone:	()-
Company Fax:	()-
Are you part of SEC Sales or a Distributor?	YES   NO
If you answered yes to the previous question, please provide us with the your name and email .
Requestor:
Requestor Email:
Please select all products you wish to service.	Air Conditioner Audio Camcorder Cash Register Consumer Fax Commercial Microwave Oven Domestic Microwave Oven DVD Insight Range LCD Projector LCD TV Personal Digital Copier Personal Typewriter Solar TV Vacuum Cleaner VCR	Hold down 'CTRL' key to select multiple product lines.
Does your company sell A/V or Home Appliances?	YES   NO
The following questions only need to be answered if you currently sell A/V or Home Appliance products.
Do you sell Sharp products ?	YES   NO
If you anwered yes to the previous question and you have a Sharp account number, please enter it here.