Trade Registration Application
Please complete the following form to register for our Designer Trade Program
Organization / Firm
*
Tax ID #
Full Name
*
First Name
Last Name
Title
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Please upload one of the following documents:
Current Business License - OR - Current Resale or Tax Certificate
Upload
*
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Terms & Conditions
The above information is subject to approval. Trade discounts are non-transferable and cannot be combined with other offers or promotions. CASA Houston reserves the right to deny or revoke any trade account.
I have read and agree to the CASA Trade Program Terms & Conditions
Signature
*
SUBMIT
SUBMIT
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