Hillside Custom Craft Furniture Company
Dealer Authorization Application
 
Company Information  
Company Name:

Trade Name:

Address 1:

Address 2:

City:

State:
 Zip code:
Telephone:

Fax:

Email:

Website URL:

Established Date:
   
Directors' Information
  
Name:
Last name:
Address 1:
Address 2:
Telephone:
 
Name:
Last name:
Address 1:
Address 2:
Telephone:
   
Trade Occupation/Dealer Status  
Trade Occupation/Dealer status
(Please select one)
 Please type the letter that best fits your category
A
 Stocking dealer retail store
B
 Stocking dealer wholesale to trade only
C
 Designer with minimal floor space boutique
D
 Builder/Model Homes
E
 Designer office space
F
 Designer home office
If you checked (A, B or C) please specify:
  
Showroom capacity:
Number of branch locations:
If more than one please specify locations:
   
Annual Sales  
Annual Sales in US dollars:
   
Business Details  
Other Dealerships
(Please list your top selling furniture lines/vendors)
  
 
 
 
 
 
   
Markets & Customers Addressed  
Please specify detail niche markets adressed:
   
Personnel Details  
Purchasing Officer/Manager:
Accounts Payable/Clerk:
Sales Manager:
Number of Sales/Design Professionals:
Total number of employees:
   
   

Conditions of Copyright

Hillside Custom Craft Furniture Company reserves all rights to all copyrights, designs, and concepts.
Copying, distributing, sharing of any Hillside Custom Craft Furniture Company's products is strictly
prohibited and will be prosecuted to the laws fullest extent.
I/We agree to trade under the terms and conditions of Hillside Custom Craft Furniture Co. and confirm
that the above information is true and correct. I/We further agree to guarantee to pay all
amounts outstanding due to Hillside Custom Craft Furniture Co.

Date: I/We Agree to the terms