Trade Professional Program

APPLICANT INFORMATION

First Name *

Last Name *

Title/Position *

Email Address *

Phone Number *

Mobile Phone

BUSINESS INFORMATION

Business Name *

Business Address *

City *

State *

ZIP Code *

Business Website

Years in Business *

Federal Tax ID/EIN

Business License Number

Resale Certificate Number *

State Issued *

PROFESSIONAL DESIGNATION

Interior Designer

Landscape Architect

Architect

Design-Build Professional

Hospitality Designer

Commercial Space Planner

Other (please specify):

Professional License/Certification Numbers

PROJECT INFORMATION

Estimated Annual Outdoor Furniture Volume *

Primary Project Types * (Select Primary Type)

Residential

Commercial

Hospitality

Mixed Use

Services You Typically Require

COM/COL Material Sourcing

Custom Modifications

White-Glove Delivery

Installation Services

Project Management Support

REFERENCES

Reference 1 - Name *

Company

Phone

Email

Reference 2 - Name *

Company

Phone

Email

AGREEMENT & SIGNATURE

I certify that the information provided in this application is true and complete. I understand that any false information may result in denial or termination of trade privileges. I agree to provide additional documentation as requested and to comply with all terms and conditions of the Nicki Huggins Trade Professional Program.

Signature

Date

Print Name

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Trade Professional Program

Thank you for your application!