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RETAIL INSTALLER APPLICATION
Please fill out the form below and submit. After your application has been reviewed you will be contacted by phone to finalize the setup process. Please allow 1-3 business days for review.
*
Indicates required field
General Information
Company Name
*
Please supply legal name of your company as listed on the articles of incorporation.
Business Tax ID
*
Please supply the Business Tax Identification Number supplied to you by the Internal Revenue Service.
Contact First/Last Name
*
First
Last
Please supply first and last name of primary contact. This person has authorization to make purchases on behalf of the company.
Email
*
Please supply the email address where you wish to receive correspondence such as order confirmations, Invoices, customer contacts, and other important notifications.
Phone Number
*
Please provide the phone number where the Primary Contact can be reached. Include extension if applicable.
Upload PDF Tax Exemption Certificate (Florida Only)
*
Max file size: 20MB
If applicable, please provide a PDF of your Tax Exemption Certificate. This is only required of customers who are located in Florida.
Business Address
*
Line 1
Line 2
City
State
Zip Code
Country
Please enter the legal address of the business.
Shipping Address (if different from business address)
*
Line 1
Line 2
City
State
Zip Code
Country
Please enter the address where you would like to receive shipments.
COMPANY PROFILE
SHIPPING PROFILE
Check all that apply
*
I have a showroom.
I install cabinet refacing for home owners.
I install refacing for commercial projects.
I build new cabinets.
I provide my customers with various renovations.
I need a laminate door supplier.
I need a door hinge supplier.
I refurbish commercial fire doors.
I am a sign manufacturer.
Please select all that apply.
Choose all that apply.
*
I receive shipments at a commercial address.
I receive shipments at a residential or rural address.
I have a forklift.
My facility is equipped with a receiving dock.
I have a pallet jack.
I have someone to receive deliveries during business hours.
I need to pick-up product from a holding station if possible.
I want to use my FedEx/UPS shipping account for shipping.
I want to pick-up my orders from Winter Garden Florida.
Please select all that apply.
Questions or Comments
*
How did you find us.
*
Choose One
Trade Show Event
Referred by Another Product Supplier
Print Advertisement
Social Media
Online Search
Referred by Another Customer
Email Invitation
Drive By
Other
How Many Years in Business
*
Choose One
Less than a year.
1-5 Years
6-10 Years
11-15 Years
16+ Years
Do you want to receive special notices via email?
*
Choose One
Yes
No
Submit
Home
Samples
Accent Planks Samples
Color Swatches
Peelstix Fan Deck
Shop
PEELSTIX Laminate
KOR Accent Planks
SALE ITEMS
TRAINING
How To
Contact Us
DIY Cabinet Refacing
Qualify a Reface Project
Measure & Estimate for Refacing
How To Order
Prepare Cabinets for Refacing
How To Reface
Add Finishing Touches
More Info
Wholesale Application
KTU Orders
About Us
Fire Test Results
Category
Markets
>
Hospitality & Fire Doors
Assisted Living Facilities
Student Housing Refacing
Blog
Gallery