Dealer Registration Form Company Information: Please fill out this form completely to become a dealer for our products. COMPANY NAME * ADDRESS * PHONE NUMBER * EMAIL ADDRESS * WEBSITE * DO YOU HAVE ANY RETAIL LOCATIONS? YesNo LICENSE NUMBER * EIN NUMBER * WHICH CABINET BRANDS DO YOU SELL IN YOUR SHOWROOM? * HOW MUCH WAS YOUR TOTAL CABINET PURCHASES LAST YEAR? * HOW MUCH CABINET PURCHASES DO YOU PROJECT THIS YEAR? * HOW MANY INSTALLATION CREWS DO YOU HAVE? * WHAT TYPE OF PRODUCTS DO YOU SELL? * Kitchen CabinetsVanity CabinetsGranite CountertopsLaminate CountertopsCarpetHardwood FloorTilesAppliances WHAT IS YOUR SERVICE AREA? * Contact Information: Please enter your contact information. NAME * LAST NAME * PHONE * EMAIL * HOW DID YOU FIND OUT ABOUT US? * Cabinet Distribution Center Sales RepReferralInternetOther