CUSTOMER APPLICATION AND IDESIGNSOURCE LOGIN REQUEST

Thank you for your interest. Use this form to begin the application process to become one of our Authorized Designers. Your request will be reviewed and we will be back in touch with you via email. Please allow 2-3 business days for processing.

CONTACT INFORMATION

Business Name *

Name *

Billing Address *

Physical Address

If different from billing address.

Telephone No. *

Fax No.

Designer Email Address *

Accounting Email Address *
Same as designer email address

OWNERSHIP

Sole Proprietor

Partnership

Corporation

Tax Resale No.
Please send a copy of your Florida resale certificate via email (click here) or fax to 239-591-8585 (Naples), or 941-355-3810 (Sarasota).

SHOWROOM PREFERENCE

To ensure personalized service and sourcing, please select your primary showroom affiliation:

Naples

Sarasota

AFFILIATIONS

ASID

CBIA

Interior Design Society

Other

TRADE REFERENCES

Name *

Telephone No. *

Name

Telephone No.

Name

Telephone No.

If you are new to the design industry, please send a copy of your business license via email (click here) or fax to 239-591-8585 (Naples), or 941-355-3810 (Sarasota) to validate your trade account.

Please tell us what username and password you would like to use on this website. We will do our best to use your preference, however your actual login might need to be different.

Preferred Username *

Usernames must be at least 4 characters long and contain only letters and numbers. Spaces and special characters are not allowed.

Preferred Password *

Passwords must be at least six characters long and contain at least one letter and one number. Case does not matter.

Enter the sum of 1 plus 1 in the box below.