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Brands & Collections
Select Drapery Hardware
Pinnacle Blinds & Shades
USC Drapery Lining
Kirsch Drapery Hardware
Norman Shutters
Forest Drapery Hardware
Sheer Shadings
Align Transitional Shades
Avalon Shades
Metal by Altran
USC Custom Iron
Pillows, Cotton Piping, Trims & Hovotex Buckram
Additional Brands
Motorization
Resources
Showrooms
Showroom Appointment Request
Atlanta Showroom
Charlotte Showroom
Chicago Showroom
Nashville Showroom
Pittsburgh Showroom
Raleigh Showroom
Newsletter
Window Treatment Design Gallery
About Us
Installation Instructions
Select Drapery Hardware Installation Instructions
Pinnacle Blinds and Shades Installation Instructions
Kirsch Installation Instructions
Forest Installation Instructions
Other Custom Products Installation Instructions
Account Info
Dealer Account Application
Dealer Forms
Dealer Support Request
Dealer Account Center Access Request
Dealer Account Center Tutorials
Careers
Contact
Dealer Login
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Dealer Application
Dealer Application
Commercial Account Credit Application
Step
1
of
6
16%
Type of Account?
(Required)
New
Update
Dealer Information
Name of Business
(Required)
Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Business Phone
(Required)
Business Fax
Cell Phone
(Required)
Email Address
(Required)
Do you have a different billing address?
(Required)
Yes
No
Do you have a different shipping address?
(Required)
Yes
No
Billing Address
If different than above
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Shipping Address
If different than above
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Type of Business
(Required)
Purchase Order Required
(Required)
Yes
No
Contacts
Accounts Payable Representative
(Required)
Accounts Payable Phone
Credit Limit
Credit Limit Desired
(Required)
Business Type
(Required)
Corporation
Partnership
Sole Proprietorship
Do You Wish to Receive Emailed Invoices
(Required)
Yes
No
Email
(Required)
Officers, Partners, or Sole Proprietors
Contact #1
(Required)
First
Last
Contact #1 Title
(Required)
Contact #1 Social Security Number
(Required)
Contact #1 Phone
(Required)
Contact #2
First
Last
Contact #2 Title
Contact #2 Social Security Number
Contact #2 Phone
Tax Information
Federal ID #
Resale Tax ID #
In Business Since
(Required)
Month
Day
Year
Upload State Resale Tax Certificate
For additional information, contact USC Customer Service
Max. file size: 64 MB.
Credit Card Information (Optional)
Do you desire to charge purchases on your MasterCard or Visa credit card?
Yes
No
A United Supply Company representative will contact you shortly to record your credit card information.
The information furnished on this application is for the purpose of obtaining credit. I understand that this information will be relied on for the extension of credit. I hereby certify that the information is true, correct, and complete.
United Supply Company is authorized to report to the proper persons and bureaus the performance of this agreement.
Standard terms for invoices are net 30-days from the date of invoicing. Other specialized terms are available based on products and/or quantities purchased.
Upon default of the terms of this agreement, United Supply Company may declare my existing balance due and payable in full. Upon default of payment terms, United Supply Company may also collect for all attorney fees and/or collection fees associated with the collection of any past due balances.
Interest will be charged at the rate of 1.5% per month on past due amounts.
My signature on this credit application authorizes United Supply Company to obtain any credit information necessary to provide me with an account.
Company Name
(Required)
Date
(Required)
MM slash DD slash YYYY
Please attach trade references if available
Max. file size: 64 MB.
CAPTCHA
Signature
(Required)
Owner/Officer (application must be signed before account approval procedures)
Signature
Other Owner/Officer (application must be signed before account approval procedures)
Download the Form