Rep Site Registration
  • To receive access to the private Rep Site, fill out and submit the form below.
  • All information marked by a * is required.
  • The email address you provide must be a valid address. After submitting this form, you will receive a confirmation email containing a link that you must click on to proceed with the registration.
  • After you confirm your registration, a United Enertech associate will review your request to access the Rep Site.
*First Name:
*Last Name:
*Company:
*E-mail:
*Acknowledgment E-mail:
*State:
*User Name:
*Password:
*Re-type Password: