Design Concepts Renew Application

First Name

Last Name

Company Name

Title

Address

City

State

Country

Postal Code

Email Address

Confirm Email Address

Phone Number

xxx-xxx-xxxx

Fax Number

xxx-xxx-xxxx

Website

Primary Business Focus

Residential Interior Design
Residential Architecture
Residential Builder/Developer
Residential Staging
Commercial Staging
Commercial Interior Design
Commercial Architecture
Commercial Builder/Developer
Hospitality Interior Design
Set Designer/Stylist
Other

How did you hear about the Designer Perks Program?

What is the annual revenue of your business?

Please attach 2 of the following:

Designer Association Membership Card (ASID, IIDA, CID, NCIDQ, ASP, IDS, CSP, CDECA, LEED)
State Business License
Business Card
Yellow Pages Advertisement

To attach document(s) to this application click on the browse buttons below and find the document you wish to send. The documents must be no larger than 1.5 mb and in one of the following formats:

PDF - Portable Document Format (Recommended Format)
DOC - Word Document
DOCX - Word 2007 Document
GIF - Image File
WPD - Word Perfect
JPG - Image File
TXT - Text File
WPS - Works for Windows
MCW - Word 4.0 - 5.1 for Mac.

Proof of Business (1)

Proof of Business (2)

If exempt from paying tax, please include a copy of your signed state resale certificate below. You will also need to present it each time you make a purchase.

Tax Exempt Document

Fields marked with * are required.

For