Trade Program Application
Name
*
First Name
Last Name
Name of Company
*
Job Title
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Business Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
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Company Website or Social Media Link
*
Please provide a copy of your Business License/Resale Certificate or professional design association to which you belong:
Business License/Retail Certificate
Professional Design Association
Please upload License or Certificate
Browse Files
Drag and drop files here
Choose a file
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of
Professional Design Association
Please Select
AIA (American Institute of Architects)
APLD (Association of Professional Landscape Designers)
ASID (American Society of Interior Designers)
ASLA (American Society of Landscape Architects)
CID (Certified Interior Decorators International)
IDS (Interior Design Society)
IIDA (International Interior Design Association)
NKBA (National Kitchen and Bath Association)
Art Directors Guild
ASP (Accredited Staging Professional)
HSR (Home Staging Resource)
IRIS (Interior Redesign Industry Specialists)
IRN (Interior Redecorators Network)
Other
Membership #
Is your business eligible for tax exemption on orders?
Yes
No
Please Upload Tax Exempt Documentation
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of
Documentation Type
Please Select
FEDERAL GOVERNMENT
STATE GOVERNMENT
EXPORT
SCHOOLS
NATIVE AMERICAN
RESELLER
GOOD NEIGHBOR
LOCAL GOVERNMENT
CHURCHES
CHARITABLE
HEALTH CARE
DIPLOMATS
FILM PRODUCER
Tax ID #
Expiration Date
-
Month
-
Day
Year
Date
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What is your firm's average annual spend on furnishings?
How did you hear about the Cariloha Trade Program?
Please Select
Hilary Gregersen
Kimberly Daw
Online
Social Media
Stores
Other
Please verify
*
Submit
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