Residential Trade ProgramReady to experience the next level in design service?We invite qualified professional interior design and architectural firms to apply for a Designer Direct Account and receive benefits including special pricing, support from a dedicated Trade team, and buying privileges including periodic promotions and discounted Outlet products. Eligibility requirements:Professional membership in or certification by ASID, AIA, CIDQ, IDC, IDS, IIDA, or NKBA (or 4-year degree in Architecture or Interior Design)Valid W-9 form and Resale Certificate or Business RegistrationNo retail store or showroomPlease note the Designer Direct Program does not apply to:Home-staging firmsDesign-build firmsContractors / Home buildersDevelopers / Real Estate brokersRetail stores or showrooms DESIGNER DIRECT ACCOUNT APPLICATION By submitting this application in full, you are requesting consideration for a direct account. Our Trade Services staff will review and, if approved, contact you to discuss the terms and conditions for partnering with Hubbardton Forge.Company Name * RequiredBusiness Type * Required Interior Designer Architect Other if other (specify below)Professional Affiliations * Required ASID AIA CIDQ IIDA IDS NKBA IDC NONE 4-YEAR DEGREE IN ARCHITECTURE OR INTERIOR DESIGN Address * Required Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Website - enter a valid website URL for example http://www.google.com Contact Name * Required First Last Phone * RequiredEmail * Required Personal Data * Required I consent to my submitted data being collected and stored. PLEASE TELL US ABOUT YOUR FIRMHow many years has your firm been in business?Federal Tax ID * Required Yes No State Resale Certificate * Required Yes No Business Registration (AK, DE, MT, NH) What percentage of your business is Residential? * Required100%90%80%70%60%50%40%30%20%10%0%What percentage of your business is Commercial? * Required100%90%80%70%60%50%40%30%20%10%0%Do you have a retail space? * Required Yes No Have you purchased Hubbardton Forge lighting before? * Required Yes No if yes, please advise name of showroom(s), electrical distributor(s), or online site (s) * RequiredHow do you shop for lighting? (check all that apply) * Required Online Retail Store Trade-only Showroom Direct from Manufacturer Manufacturer Sales Rep Electrical Distributor How many designers do you have on staff? * RequiredApproximately how many projects do you work on annually? * RequiredHow do you prefer to pay for orders? * Required Credit Card Pre-pay check or Transfer Net 30 Terms (credit application required) Do Sales representatives from any lighting manufacturers currently call on your firm? * Required Yes No if yes, which rep/agency?ACTIVE ACCOUNTS( please check all that apply) Arteriors Avery Boardman Baker Furniture Bernhardt Castelle Century Furniture Christian Liaigre Christopher Guy Christopher Peacock Corbett Cowtan & Tout Currey & Co. Dennis & Leen Dessin Fournir Donghia Duralee Edelman Leather Fabricut Fine Art Lamps Global Views Hammerton Herman Miller Hickory Chair / Pearson / Henredon Holland & Sherry Holly Hunt / Great Plains Hudson Valley JANUS et Cie Jean de Merry Knoll Kravet /Lee Jofa/ Brunschwig & Fils Lexington Home Brands Lindsey Adelman Lloyd Flanders Loloi Made Goods Maya Romanoff Moore & Giles Palecek Paul Ferrante Pindler Porcelanosa Remains Lighting Robert Allen / Beacon Hill Roll & Hill Romo Samuel & Sons Scalamandre Schonbek / Swarovski Schumacher Stark Surya Sutherland / Perennials Tech Lighting Troy Lighting Vaughan Lighting Visual Comfort Wood-Mode Cabinetry Zuo Modern Other If you have other accounts not listed above, please list below.Have you visited with us at a trade show? If so, which one/s? Architectural Digest Design Show High Point ICFF Other Please list other shows