Dealer Registration

Fill out and submit the Dealer Registration form below. We'll be in touch with more information soon.

PREVIOUS DEALERS: Due to improved security on our new website, you will need re-register. We apologize for any inconvenience.

Name of business*

Contact name*

Business type* Retail Store / Stocking Dealer
Designer / Non-stocking Dealer

Email*

Phone*

Sales Tax ID#*

Business description*

NOTE: This must be a commercial address!

Ship to name*

Ship to address*

Ship to city*

Ship to state*

Ship to zip*

Bill to name*

Bill to address*

Bill to city*

Bill to state*

Bill to zip*

Anti-spam Code

Retail