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New Customer Registration Request Form

Thank you for you interest in Classic Home, Classic Home Rugs and Villa Home Collection. We are a wholesaler selling strictly to retailers and interior designers.
If you are a retailer or designer, register today to gain access to online catalogs, place orders and view inventory.

Important: all required fields* must be filled out. All information must be current and will be verified.
You will be contacted to verify your information and to set-up a username and password.

Store Information:
Store Name: * Required
Fed Tax ID or Resale #: *
Are you a current customer? Yes       No *
Contact: *
Title:
Address: *
City: *
State: *
Zip: *
Tel: *
Fax: *
E-mail: *
Web Site:

Buyer's Information:
Name: *
Trade shows you attend? *
 
About your business:
Describe your Business Location: *
If you chose Other, please explain:
Main product lines: *
Years in business: *
Square Footage : *
Multiple Stores?: Yes No *
Independent or Chain: Independent Chain *
Other Manufacturer’s Lines you carry: *
How did you hear of Classic Home? *

Thank you!
Classic Home Sales Department

Please hit SEND REQUEST to submit your request
Please refer to "terms & conditions" for complete order information.




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