Business Information * Company Name * Buyer’s / Owners First Name * Buyer’s / Owners Last Name * Buyer’s Assistant First Name * Buyer’s Assistant Last Name * Business Type StoreOnlineDesignerRental Proof of Business * My Business is Located in * Tax ID * Resale License Billing Information * First Name * Last Name * Address Line 1 * Address Line 2 * City * Province / State * Postal / Zip Code * Country * Tel * Fax Email * Contact Name Bank Information Bank Name Bank Address Bank Address Line 2 City Province / State * Postal / Zip Code Country I want Dezign Market to assign me an online account With an online account, you can log into our website to download our daily updated inventory report, price lists, and occasional sales material. How did you hear about Dezign Market? Please check any that applies Trade ShowEmail inviteTrade Magazine PublicationIndustry ReferralSales Rep VisitOther Notes Verification
