Nicolette Mayer Trade Account Application Form

 

Nicolette Mayer Trade Account Application Form

Thank you for your interest in setting up a trade account with Nicolette Mayer. Please complete the form below and submit the required documentation. Our team will review your application and respond within 3-5 business days.

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Business Information

Company Name: ________________________________

DBA (if applicable): ________________________________

Business Type: ☐ Retail ☐ Online ☐ Interior Design ☐ Other: _______________

Federal Tax ID / EIN: ________________________________

Resale Tax ID Number: ________________________________ (Attach a copy of your resale certificate)

Business License Number: ________________________________

Website: ________________________________

Social Media Handles (Instagram, Facebook, etc.): ________________________________

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Primary Contact Information

Contact Name: ________________________________

Title: ________________________________

Email: ________________________________

Phone Number: ________________________________

Billing Address:
Street: ________________________________ City: ________________________________ State: ___________ Zip Code: ___________ Country: ___________

Shipping Address (if different from billing):
Street: ________________________________ City: ________________________________ State: ___________ Zip Code: ___________ Country: ___________

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Payment & Order Preferences

Preferred Payment Method: ☐ Credit Card ☐ ACH Transfer ☐ Other: _______________

Authorized Buyer(s) (if different from primary contact):

1. Name: ________________________________ Email: ________________________________
2. Name: ________________________________ Email: ________________________________

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Terms & Conditions

• All new accounts are subject to approval.
• A valid Resale Tax Certificate must be submitted with this application.
• Orders will not be processed until all required documents are received and approved.
• Payment is due at the time of order unless net terms have been established.
• Nicolette Mayer reserves the right to update pricing, policies, and terms at any time.

By signing below, I confirm that the information provided is accurate and that I have read and agreed to the terms and conditions stated above.

Signature: ________________________________
Printed Name: ________________________________
Date: ________________________________

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Submission Instructions

Please submit the completed form and required documents via email info@nicolettemayer.com.

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We appreciate your interest in partnering with Nicolette Mayer and look forward to working with you!

 

Please select the one option that best describes your type of Business Segment:

Residential /Contract/Hospitality/Other

Please select one option that best describes your type of firm:

Interior Design ___________________________________________

Specifier_________________________________________________

Architect_________________________________________________

Procurement Company____________________________________

Installer__________________________________________________

Retail Store______________________________________________

Export__________________________________________________

Condo__________________________________________________

Multi Family_____________________________________________

Hospitality______________________________________________

Retail___________________________________________________

Corporate_______________________________________________

Healthcare______________________________________________

Gaming_________________________________________________

Restaurants_____________________________________________

Spas___________________________________________________

Wallpaper Store_________________________________________

Other__________________________________________________

 

By providing your email you are giving us permission to email you regarding your account and other information NICOLETTE MAYER deems appropriate.