Premium Protection Plans from JB and Associates
New Account Registration

Welcome to New Dealer Account Registration with Premium Protection Plan.

  Items in bold are required.

Your Information:
Email Address:
Password:
Re-type Password:
First Name:
Last Name:
Contact Phone:   
Company Information:
Dealer Name:
Admin. Contact:
Address Line 1:
Address Line 2:
City:
State:
Zip: -
Primary Phone:   
Wholesaler/Affiliation Information:
Please enter the following to help us serve you better.
Wholesaler / Distributor:
Wholesaler City: State:
Wholesaler Rep/TM (if known):
JB & Associates Rep (if known):
How did you hear about us?
  
Confirmation and Dealer Service Agreement:
Please read through the Dealer Service Agreement carefully and click on the Complete Registration button below to finish the Registration process.
User Information
Email Address:
First Name:
Last Name:
Contact Phone:
Dealer Information
Dealer Name:
Administrative contact:
Primary Phone:
Address:
City, State Zip:
Contractor Service Rates:
Note: The maximum limits of the hourly & call rates have already been populated below. If you have any questions about these rates please contact us.
Normal Hourly Rate of: $
[Straight forward, Time and Materials, and labor rate for flat rate pricing]
[* Please note: The $125 rate is for select plans only. $85 is the base hourly rate.]
Normal Call Rate of: $
[Includes diagnostics and first 30 minutes at jobsite]
Refrigerant Reclamation Fee: $
[If reclaim is necessary]
Service Warranty Sales License Number:
Service Warranty Sales License #
(FL Only):
The State of FL requires a Service Warranty Sales License for the purpose of selling/reselling or issuing service warranties. Please click here for more information and how to apply for one.
Tax Related Information:
Federal Tax Identification Number (EIN):
We need the Federal Tax Identification Number (EIN) for tax reporting purposes of payments on Claims.
Air Conditioning and Refrigeration Contractor State License:
AC Contractor State License Number:
If you operate in multiple states, please use the AC Contractor license number in your home state.
Dealer Service Agreement:
Please read through the Dealer Service Agreement carefully and check the box with your acceptance and enter your initials below.
For a larger view, open in a new window and download a copy of the Dealer Service Agreement [PDF] for your records.
FL Dealer Producer Agreement:
As required by the State of Florida, this agreement is between you(the Producer) and Dealer Assurance Company(the Company) to appoint you(the Producer) to offer and sell Service Warranty Agreements in State of Florida. Please check the box with your acceptance and enter your initials below.
For a larger view, open in a new window and download a copy of the Producer Agreement [PDF] for your records.
Accept Confirmation (Initials):
Initials: Date & Time:
Sales Tax Acknowledgement:
We do not charge Sales Tax as you are a Reseller. It is your responsibility to handle it in accordance with your State's law. Please contact your State tax office for more information.
  
Thank you for registering with Premium Protection Plan™.
Thank you once again for choosing Premium Protection Plan for your warranty needs.
JB & Associates 2221 Justin Road #119-PMB 151, Flower Mound, TX 75028 | Office: 855-742-5522 (855-PICK JBA) | Fax: 469-464-1226 | Support