Industry Professional Trade Access Application

Professional (ie Designer, Realtor, House Flipper, etc.)ContractorDealerShowroom
PRO & CONTRACTOR APPLICATION FORM
DesignerRealtorHouse FlipperContractorGeneral ContractorBuilder
EIN Number*
License Number*
Estimated Annual Purchase*
YesNo
Please list their names:
DEALER & SHOWROOM APPLICATION FORM
Showroom Address*

Street Address

Street Address Line 2

CityState

Zip Code
Shipping Address (Leave Blank if same as Showroom Address)

Street Address

Street Address Line 2

CityState

Zip Code
Estimated Annual Purchase*
Years in Business*
LLCCorporationPartnershipSole Proprietorship
Retailer without showroomRetailer with showroomContractorDesignerDistributorBuilder/Development
YesNo
EIN Number*
Resale Certificate Number
Contractor License Number
YesNo
Please list their names:
By signing below, you are authorizing the purchase of agent(s) listed on this application to be registered with L&C Cabinetry under your state's sales tax license.
Signature*
Date*

MonthDayYear
Date
Should be Empty:

PRO & CONTRACTOR APPLICATION FORM