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Retail installer application

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. *

How Many Years in Business *

Do you want to receive special notices via email? *

Submit

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