Dealer Account Application

AVS Uriel Systems, Inc. is a Manufacturer/Distributor of CCTV products and related accessories. We exclusively sell to the trade and not to the general public.

To view online pricing and to purchase products, please fill out the form below. Once your application is reviewed, you will receive a call or email from one of our professional Account Managers.

All information given will be strictly confidential.

Company Name and Address
Company Contacts
President/Owner Email
Financial Controller Email
If more than one, please enter all purchasers.
Company Information

Please fax a copy of your Business License/Resale Permit along with a photocopy of the owner's Driver's License to 571-490-8328 to complete the application process.

To set up an account for credit card purchasing, please download the Credit Card Authorization Form and fax it to 571-490-8328.

For terms, please contact one of our Account Managers for details.