Become a Dealer

Dealer Registration Form

Please fill out this form completely to become a dealer for our products.

Company Name

Address

City

State

Zip

Phone Number

Email Address

Web Site

EIN Number

Number of Locations

Do you have any retail locations? If so how many?

License Type *

License Number



Contact Information

Please enter main contact information.

Contact Name

Contact Phone

Contact Email



Dealership Information

Please answer the questions below to qualify you as a dealer.

What type of products do you sell?

Please list all the products you sell or install

Kitchen CabinetsVanity CabinetsGranite CountertopsLaminate CountertopsCarpetHardwood FloorTilesAppliancesOther

Which cabinet brands do you sell in your showroom?

Please list all the cabinet brands you offer to your customers

How much was your total cabinet purchases last year?

Please enter total amount of cabinet purchases last year

How much cabinet purchases do you project this year?

Please enter your cabinet purchase projection for this year

Do you provide installation services? *

YesNo

If you provide installation services, how many installation crews do you have?

What is your service area?

Name of the person filled out this form

Please type below your name

How did you find out about us?

Please let us know how did you learn about us.

Cabinet Distribution Center sales repReferralInternetOther


How did you reach us

Please choose below

Name of the Channel

Please write down the name of the customer rep / referal or channel