EmailMe Form - Trade Account Registry

Business Legal Name *

Legal name of the business entity

DBA if Applicable

Legal name of the business entity

Full Name *

First MI Last

Main point of contact for the company listed above

Email *

Email for general communications

Phone *

### - ### - ####

Phone/Cell for general communications

Nature of Business *

Architectural Firm

Homeowner

Interior Designer

Real Estate Agent/Agency

Showroom/Reseller

Select one or multiple if applicable, if applying for multiple businesses please fill out a separate application.

Business Category *

Commercial

Hospitality

Residential

Staging

Select one or multiple if applicable.

Billing Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Ship to Address
(If applicable, receiver, warehouse, office, etc)

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

If same as above leave blank

Do you know how we got your attention? *

From:

Thanks for your time!!

Please upload your Resale Tax Certificate (PDF)

Applicable if the products bought will be used for reselling purposes, if you do not own a registered Resale Tax Certificate please leave it blank. If you want to apply for a Resale Tax Certificate we have an accounting department that can assist you with this, email us at info@neuerhorizon.com

Please upload your filled-out and signed W-9 (PDF)

We need this filled-out form in case we pay you sales commission.