Please fill in your information below if you are interested in receiving portal access.
You will receive a separate email with your new login credentials after review. Please note that portal credentials are only issued for qualified customers that have an active account with Pacific Auto Company. If you do not have an account, apply here.
Name*
Company Name*
Type of Business* —Please choose an option—Auto Parts Store/RetailAuto Parts DistributorAuto Body ShopAuto RestorationRepair ShopDealershipWrecking YardOther
Password*
Street Address*
City*
State*
Zip*
Email Address*
Phone Number*
Fax Number
Resale Number
If you do not have a valid resale number, all transactions will be subject to sales or use tax.
Name
Street Address
Same As Primary Contact?
City
State
Zip
Email
Phone
How did you Hear About Us? —Please choose an option—Online MarketingPrint Ads/MagazinePAC/PBI Sales RepresentativeSearch EngineNewsletterFriend/ReferralOther
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