Business Program Form CLEAN DESIGN HOME Name (first, last) * Email * Business Phone * Website (optional) Business Name * City, State, Zip * Reseller or EIN or Tax ID or Business License # * Please select at least one checkbox.Services YOU PROVIDE (check all that apply) * Design Professional Realtor Hospitality (AirBnb, VRBO, etc) Bridal Provider University/College Other Please select at least one checkbox.HOW WILL YOU USE oUR PRODUCTS/SERVICES * End User (for my business or clients) Designer/Specifier (select for my customer’s project needs) Purchasing Agent/Dealer (purchase on behalf of other entities) Describe your project Please select at least one checkbox.YOU CERTIFY THAT YOU ARE PURCHASING ITEMS FOR YOUR CLIENTS/CUSTOMERS AND ARE NOT ACTING AS A COMPETING RESELLER. By submitting this form, you agree to our terms and conditions and privacy policy. * I have read and agree to the terms and conditions and privacy policy. ENROLL
