Dealer Application Company Name *Owner Name *Street Address *Apartment, suite, etcCityState/ProvinceZIP / Postal codePhone *Email Address *Please provide a copy of your Contractor License, Resale Certificate, and DL/ID – if applicableDrag and Drop (or) Choose FilesPlease Select All That Apply *Retailer (Showroom)Retailer (without Showroom)DistributorContractorInterior DesignerBuilder/DeveloperOtherHow did you hear about us? *ReferralSearch Engine (e.g. Google, Bing, etc)Printed Media (e.g. Newspaper, Magazine, etc)EmailSocial MediaOtherAuthorized Users – Add employees or partners for access to your accountAuthorized User 1Authorized User 2Free Sample DoorsPlease list your choice of free sample doors (Limit 3)Please provide the following information about top 2 product lines you are currently sellingCompany Name 1Product(s) SoldYears SoldSales in last 3 monthsCompany Name 2Product(s) SoldYears SoldSales in last 3 monthsPlease let us know if you have any questions or comments SubmitPlease do not fill in this field.