New Account Profile If you are entitled to Sales Tax exemption, please complete and provide the appropriate Resale Certificate.

Seller's Permit#____________________________

Please include a copy of your Permit & Resale Cert.

Bill to:____________________________________ _________________________________________

_________________________________________

State:__________ Phone:__________________________________

Email:___________________________________

Primary Contact: _________________________________________

Email for Invoices: _________________________________________

Please select the one option that best describes your type of Business Segment:

Residential /Contract/Hospitality/Other

Please select one option that best describes your type of firm:

Interior Design ___________________________________________

Specifier_________________________________________________

Architect_________________________________________________

Procurement Company____________________________________

Installer__________________________________________________

Retail Store______________________________________________

Export__________________________________________________

Condo__________________________________________________

Multi Family_____________________________________________

Hospitality______________________________________________

Retail___________________________________________________

Corporate_______________________________________________

Healthcare______________________________________________

Gaming_________________________________________________

Restaurants_____________________________________________

Spas___________________________________________________

Wallpaper Store_________________________________________

Other__________________________________________________

By providing your email you are giving us permission to email you regarding your account and other information NICOLETTE MAYER deems appropriate.