* Email

* First Name

* Last Name

* Business

* Type of Business and Profession
---Architect - Bookkeeper / AccountantArchitect - Interior DesignerArchitect - LibrarianArchitect - PrincipalArchitect - Project ManagerContractor - GeneralContractor - Wallpaper InstallerInterior Designer - JuniorInterior Designer - Bookkeeper / AccountantInterior Designer - DesignerInterior Designer - LibrarianInterior Designer - PrincipalInterior Designer - Project ManagerOther - Event PlannerOther - StylistPurchasing AgentWorkroom - Upholstery / Drapery

* Address

Address 2 (not required)

* City

* State

* Postal/Zip Code

* Country

* Business Phone Number

* Website

* Instagram Handle

* EIN/Tax ID

* Business Registration/EIN Certificate
(jpg or pdf only, files must be under 10MB)

Resale Certificate for Tax Exemption (US clients only)
(jpg or pdf only, files must be under 10MB)

* I have a resale certificate:
---YesNo

* How did you hear about us?:
---PressShowroom RepSocial MediaWord of MouthOther

I already have a registered trade account with a ZAK+FOX showroom:
---Culp Associates – DallasCulp Associates – HoustonGeorge Spencer Designs – LondonHolland & Sherry at R. Hughes – AtlantaHolly Hunt – BostonHolly Hunt – ChicagoHolly Hunt – MiamiHolly Hunt – MinneapolisHolly Hunt – Washington D.C.IDO Diffusion – ParisKellly Forslund – SeattleKneedler Fauchere – DenverKneedler Fauchere – Los AngelesKneedler Fauchere – San Francisco

My account number at my local ZAK+FOX showroom is:

Please list three trade references from other companies with whom you have an account:

If you do not have a company website or Instagram account, please provide any context to help us review and process your application:

Please confirm that you are human