Installer Registration | Western Appliances

Contact Information

First Name *

First name is required

Last Name *

Last name is required

Email *

Valid email is required

Phone *

Phone number is required

Password *

Password must be at least 8 characters

Confirm Password *

Passwords must match

Address

Region *

Please select a region.

Province *

Please select a province.

City/Municipality *

Please select a city/municipality.

Barangay *

Please select a barangay.

Street Address *

Street address is required

Brands Serviced *

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Upload Required Documents

All documents must be in PDF, JPG, JPEG, or PNG format (max 5MB each)

Letter of Intent *

Letter of Intent is required

Company Profile *

Company Profile is required

DTI Business Name Registration *

DTI Business Name Registration is required

DTI Certificate of Accreditation *

DTI Certificate of Accreditation is required

Business / Mayor's Permit *

Business / Mayor's Permit is required

BIR Registration Certificate (Form 2023) *

BIR Registration Certificate is required

Official Receipt/Invoice *

Official Receipt/Invoice is required

Brand Certification *

Brand Certification is required

SEC Article of Incorporation (Optional - If Corporation)

Application Submitted Successfully!

Thank you for applying as an installer. Your application is under review.

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Installer Application

Company Information

Contact Information

Address

Brands Serviced *

Upload Required Documents

Application Submitted Successfully!