New Account Application Form
Business Name
Name of Principle
Last Name
Federal Tax ID
Business Address
Address Line 2
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
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
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
Business Phone
Primary Email
Ownership
Corporation
Proprietorship
Partnership
Other
Business Type
Retailer
Manufacture
Distributer
Design Center
Builder
Other
Dedicated Ship To Address
Ship To Address
Address Line 2
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
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
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
Ship To Phone
Do you have Truck Loading Docks for receiving?
Authorized Representatives
First Name 1
Last Name 1
Email 1
Phone 1
First Name 2
Last Name 2
Email 2
Phone 2
Sample Collection
Elegant Window Fashions Sample Collection: (hold shift or control to select more than one)
I agree to receive and pay for ( 1 ) Broadleaf Shutter Bag ($150)
I agree to receive and pay for ( 1 ) Anabelle Roller Shade Book ($125)
I agree to receive and pay for ( 1 ) Bella Blind Sample ($31)
I agree to receive and pay for ( 1 ) Juliet Custom Cellular Book ($150)
I agree to receive and pay for ( 1 ) Chelsea Shutter Bag ($250)
Any Additional Broadleaf Sample Bags?
None
1 additional
2 additional
3 additional
4 additional
Any Additional Anabelle Sample Books?
None
1 additional
2 additional
3 additional
4 additional
Any Additional Bella Blind Samples?
None
1 additional
2 additional
3 additional
4 additional
Any Additional Juliet Cellular Samples?
None
1 additional
2 additional
3 additional
4 additional
Any Additional Chelsea Sample Bags?
None
1 additional
2 additional
3 additional
4 additional
Resale Certificate (all states)
Elegant Windows, Inc. requires the resale number for your company, for all states you have resale number(s), and return the Resale Certificate with an original signature. (If you sell Elegant Windows products and ship out to another state, an individual state resale
number will be required).
I hold valid seller’s permit number of
In the State of
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
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
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
I Hereby Certify
This certificate is for the purchase from Elegant Windows, Inc. of Window Coverings and Related Items. I will resell Window Coverings and Related Items, which I am purchasing under this resale certificate in the form of tangible personal property in the regular course of my business operations, and I will do so prior to making any use of the item(s) other than demonstration and display while holding the item(s) for sale in the regular course of my business. I understand that if I use the item(s) purchased under this certificate in any manner other than as just described, I will owe use tax based on each item’s purchase price or as otherwise provided by law.
I warrant that the above conditions have been carefully read and hereby agree to and certify them.
Terms of Agreement
Applicant, the undersigned, certifies that all of the information on this application is true and complete to the best of Applicant's knowledge and that Applicant withheld nothing which, if disclosed, would alter the integrity of this application. Applicant authorizes Elegant Windows, Inc. to perform a background check and obtain financial information concerning Applicant at any time from any source. Applicant has read the above conditions and hereby agree to them.
All orders placed under this account are the responsibility of the named principal even if there is a sale or transfer to new ownership of the named company. If there is a sale or transfer to new ownership of the named company, Elegant Windows, Inc. will set up a new account for the new owner after due notification from all parties and subsequent application for account and credit from the new owner.
I, the undersigned, hereby authorize the above named bank to release financial information to Elegant Windows, Inc. I furthermore authorize Elegant Windows, Inc. to obtain credit and financial information from any source at any time which may include a report from a credit report agency. I agree to pay in full for all products ordered or services rendered to, or at the request of, the undersigned in accordance with the terms of each invoice. In addition to personally guaranteeing full payment, I agree to pay Elegant Windows, Inc. for all orders and resulting costs and expenses of cancellation or changes of an order.
In the event the account is turned to a collection agency or attorney, I agree to pay all collection costs, court costs, and attorney fees in addition to all other sums due. All disputes, claims or actions or proceedings arising directly or indirectly, shall be litigated at the election of Elegant Windows, Inc. only in courts whose sites are within the County of Tarrant, Texas, and the undersign hereby submits to the jurisdiction of any state or federal court located within the County of Tarrant. The undersigned waived any right which he/she/they may have to transfer or change the venue of any litigation brought against the undersigned by Elegant Windows, Inc. Payment terms are Pre-Payment by Credit Card until further notice.
I warrant that the above conditions have been carefully read and hereby agree to them.
Type in Name to Sign
Elegant Windows Salesperson
SUBMIT APPLICATION