Trade Account Verification Form

Please complete this form to activate your trade account.

Once verified, we will confirm your trade discount and terms.

Submit to shop@monroenorthimports.com.

Business Name:

Industry

Average Project Size

Contact Name:

Title/Role:

Business Address:

Email:

Phone:

Website Address:

CREDENTIALS

Resale or Tax ID Number:

Professional Memberships (if any):

Years in Business:

Upload Resale Certificate

PROJECT INFORMATION (OPTIONAL)

Primary Project Type (circle one):

Intended Use for Purchase:

AGREEMENT

By signing below, you confirm that the above information is accurate and agree that trade pricing is extended exclusively to your firm for professional resale

Signature

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Date

Month

Day

Year