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 AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe 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