Korner Interior Solutions Dealership Program Application

DEALER PROGRAM APPLICATION
Korner I.S Rep
Legal Company Name
Company DBA
Business Type
Resale Certificate Number
Federal Tax ID NO. EIN
Estimated annual purchase
Phone
Format: (000) 000-0000.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Account Payable to

First NameLast Name
Account Payable Email
example@example.com
Account Payable Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Purchase Contact
Purchase Email
example@example.com
Purchase Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

DEALER PROGRAM APPLICATION
Do you have a showroom at this location?
Website Address
Company (Referred to as Sold To) - This section is to be completed for the address listed on your credit application
Order acknowledgements are distributed electronically. Kindly indicate the preferred recipient Email for these communications.
Kindly indicate the recipients for catalog updates, newsletters, etc., for this specific location.
Kindly indicate the recipient to whom you would like confidential pricing information, promotions, and other related details sent for this specific location.
How many K.I.S Displays are you intending to plan?
How many salespeople at this location?

Cabinet Lines Carried

Will Korner Interior Solutions be replacing any of the manufacturers mentioned previously?
Which one will be replaced?
1st Year Sales Volume Target
2nd Year Sales Volume Target
The Starter Kit - $688 with Free Shipping
The Starter Kit Include:
- 6 Legacy Cabinet Sample Doors
- 12 Signature Paint Sample Chips
- 10 Wood Stain Sample Chips
- 15 Novacoat Sample Chips
- 12 Lumigloss Sample Chips
- 5 Legacy Style Guides
- 5 Refine Closet Space Style Guides
- 10 Korner Black Holders
Should be Empty:

DEALER PROGRAM APPLICATION