REQUEST TRADE ACCOUNT

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REQUEST A TRADE ACCOUNT

Please fill out the form below to request a trade account. * Indicates a required field. Wildwood sells to the trade ONLY. If you are not an interior designer or retailer, click HERE to contact us and find your closest Wildwood dealer.

*Company Name:

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*City:

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*Contact First Name:

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*ZIP Code:

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*Do you currently have an account with our affiliate company, Chelsea House? :

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Yes

No

Not Sure

*State:

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*Phone Number:

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*Email for Contact:

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*Email for Orders & Invoices:

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*Federal Tax ID Number:

Enter Federal Tax ID Number

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*Business Type:

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Retail Store (1)

Retail Store - Multiple Locations (2)

Interior Designer

Contract/Hospitality Designer

Lighting Showroom

Office Equipment Dealer

International Customer

Website:

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*Years in Business:

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Ship to Name:

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Shipping Address:

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City:

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State:

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ZIP Code:

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City:

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State:

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ZIP Code:

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Email for FedEx Tracking Information:

Enter FedEx Tracking Information

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FedEx/UPS 3rd Party Account Number:

Enter FedEx/UPS 3rd Party Account Number

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Freight Carrier of Choice:

Enter Freight Carrier of Choice

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Receiver/Warehouse Name:

Enter Receiver/Warehouse Name

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Receiver/Warehouse Address:

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Special Freight Instructions:

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Freight Type:

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Prepaid

Collect

Third Party

Reference Name #1:

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Email:

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Phone Number:

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Reference Name #2:

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Email:

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Phone Number:

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Reference Name #3:

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Email:

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Phone Number:

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*Company Address:

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Notes:

Enter Your Notes

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*Contact Last Name:

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Sales Tax ID (only if located in NC): Enter Sales Tax ID

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SHIPPING INFORMATION

Orders that can be Shipped via Third Party Freight Carrier

SHIPPING INFORMATION

Orders that can be Delivered to a Residential Address/VIA FedEx/UPS

TRADE REFERENCES

SHOWROOMS

HIGH POINT

200 North Hamilton Street, Suite 125

High Point, NC 27260

In the Hamilton Wrenn Design District

ATLANTA

AmericasMart Building 1

240 Peachtree Street NW

Suite 14E7

Atlanta, GA 30303

© 2020 Wildwood

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252-446-3266

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OUR PRODUCTS
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REQUEST TRADE ACCOUNT
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