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Jonathan Adler

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new trade account registration

billing information
 
First Name *
Last Name *
Company  
Address *
Address (line 2)  
City *
Country *
State *
Zip code *
Phone *
shipping information
(leave empty if same as billing info)

Note: We cannot ship to PO Boxes

First Name  
Last Name  
Company  
Address  
Address (line 2)  
City  
Country  
State  
Zip code  

 
Note: Shipping address will be validated by UPS Address Validation Tool (US customers only)
NOTICE: The address validation functionallity will validate P.O. Box addresses, however, UPS does not deliver to P.O. boxes, attempts by customer to ship to a P.O. Box via UPS may result in additional charges.
NOTICE: UPS assumes no liability for the information provided by the address validation functionality. The address validation functionality does not support the identification or verification of occupants at an address.
Store Information
Are you already a Jonathan Adler reseller? *
Store trade name *
Legal name *
Sales tax or resale number *
Federal tax id number *
Number of locations *
Physical address of each location if you intend to carry our line there *
Number of Years in Business  
Days and hours of operations  
What is your web address?  
What is your best selling category? *
Where did you hear about us?  
Primary type of business: * Furniture Store
Lighting Store
Gift store
Home Accessories
Art/gallery/craft gallery
Museum Store
Spa/Hotel
Interior Design Showroom
Interior Design (commercial)
Interior Design (residential)
Other (please explain)
Please list the top four brands you currently sell: * Brand 1:

Brand 2:

Brand 3:

Brand 4:
Accounting department: Please provide details below of the person responsible for A/P:
Name *
Tel *
Fax *
email & password
 
E-Mail *
Confirm Email *
Password *
Confirm Password *
 
  Submit
* required