Wholesale Account Application

Trade Customers Only

Please be sure to complete the entire application. Missing information may delay processing.

Name of Business(Required)

Address(Required)

Street Address City State ZIP Code

Fax

Cell

Contact Name(Required)

First Last

Phone(Required)

Primary Email(Required)

Enter Email Confirm Email

Password(Required)

Enter Password Confirm Password

Accounts Payable Email

Order Confirmation Email

Website

Check the following, if different from above

Billing Address

Shipping Address

Billing Address

Street Address City State ZIP Code

Shipping Address

Street Address City State ZIP Code

Legal Entity (choose one)(Required)

Corporation

Partnership

LLC

Sole Proprietorship

Federal ID (or Social Security Number for Sole Proprietorship)

Sales Tax ID (required for sales tax exemption)

Name (1)

Title (1)

SSN (1)

Phone (1)

Name (2)

Title (2)

SSN (2)

Phone (2)

Name (3)

Title (3)

SSN (3)

Phone (3)

Attach

Please attach the following documents to your application: – Sales Tax Certificate – Occupational business license

Drop files here or

Max. file size: 50 MB, Max. files: 2.

Name

This field is for validation purposes and should be left unchanged.

Premium Grade Materials

3-5 Day Turnaround

Easy Ordering Process

Wholesale Account Application

Trade Customers Only

LOCATION

OPENING HOURS

HELP

Blinds and Shades

here to help

Company

Blinds and Shades

Here to help

Company