Industrial Account Registration To receive special pricing, please fill out the short form below. The State of Arizona Law requires us to verify your business with the information below. Company Name*Federal Tax ID/EIN#*We will need a copy of your EIN# on file.Upload copy of EIN# PaperworkAccepted file types: pdf, jpg, png, gif, tif.Main Location (Address)* Street Address Address Line 2 City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Payment MethodHow would you like to receive payment from Davis Salvage?CashCheck Mailed to Company AddressHold payment to be picked up Primary ContactPrimary ContactPrimary Contact Information* First Last Primary Contact Email* Enter Email Confirm Email Primary Contact Phone#*Additional Rep.Email* Enter Email Confirm Email Name* First Last Phone#*