New Customer Form
Contact Name
*
First Name
Last Name
Business Name:
*
Business Type:
*
Please Select
Store
Online
Interior Design
Other
*Please note that we are not accepting new eCommerce customer accounts at this time due to saturation in the market.
Other Business
If "Other" was selected above, please specify type of business here.
Billing Information:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please provide your contact information below so that invoices, credit memos, as well as any other inquiries can be sent to you electronically.
Email - Order Contact
*
Phone Number
*
Do you attend High Point Market?
Please Select
Yes
No
Would you like to be added to our email list?
Please Select
Yes
No
We promise not to spam you!
How did you hear about us?
Please Select
Advertisement
Google Search
Social Media
Trade Show
Word of Mouth
Other
Other
If "Other" was selected above, please specify here.
EIN#:
*
Please attach Resale Certificate:
*
Browse Files
Drag and drop files here
Choose a file
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of
UPS/Fedex Account?
UPS
Fedex
UPS/Fedex Account #:
LTL Carrier Account #:
Do we need your approval to ship single oversized items? (Shipping is estimated to cost $200 for oversized items, refer to shipping notes as flagged on our website):
Please Select
Yes
No
This does not apply if you provided a UPS/Fedex #
Do we need your approval to ship single LTL items?(Freight is estimated to cost at least $250 for LTL items based on freight requirements such as residential vs. commercial addresses, refer to shipping notes as flagged on our website):
Please Select
Yes
No
This does not apply if you provided an LTL Account #
Do you require orders to ship complete?
*
Please Select
Yes
No
If not, we will ship items as ready
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Freight Information
Please answer the below questions regarding freight shipments to ensure that we have accurate delivery information for your benefit. LTL information submitted below will be set as the default requirements used to book truck shipments
Does your delivery address on the PO have a loading dock?
Please Select
Yes
No
Is the delivery address on the PO a residential/home address, located in a mall, located in an alleyway, etc.?
Please Select
Yes
No
Do you only accept shipments at certain times?
Please Select
Yes
No
If yes, please provide hours below.
Shipping Hours:
Inside Delivery?
Please Select
Yes
No
Do you require a delivery appointment?
Please Select
Yes
No
If yes, please provide phone number below.
Phone Number:
Submit
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