Thank you for your interest in our collections and products.
We are excited to begin assisting you with your projects. Your trade account will be active with the submission of the attached business reference form and a copy of your resale certificate. Your account will qualify you to purchase rug, pillow, and decorative accessory collections at a trade discounted price.


Company Information


Company Name*
Company Type*
Company Sub Type*
Phone Code*
Company Phone*
Extension
Type
Company E-mail*
Company Website
Company Street Address*
Suite
City*
State*
Zip Code*
Country*
Tax ID
Year Established
Number of Employees
Estimated Annual Sales
Has The Firm Or any Of Its Principals Ever Been In Any Bankruptcy Proceeding?
Yes No

Authorized Representative


First Name*
Last Name*
Positions*
Country Code
Tel
Extension
Type
E-mail*
E-mail Type
Address Type
Country
Street Address
Suite
Zip Code
State
City

Trade References

Reference #1

Company Name*
Contact Name
Contact Last Name
Phone Code*
Phone*
Extension
Type
E-mail
Website

Reference #2

Company Name
Contact Name
Contact Last Name
Phone Code
Phone
Extension
Type
E-mail
Website

Reference #3

Company Name
Contact Name
Contact Last Name
Phone Code
Phone
Extension
Type
E-mail
Website

Bank Information


Bank Name
Account No
Branch Address
Contact Person
Account Opening Date