New Dealer Registration

Your details

Name*		Surname*		Title
Company*
Address*
City*		State*		Post Code*
Phone*		Fax		Email*

Please select a type of business that best describes you? More than one (1) may apply: *

Blind Distributor	Blind Manufacturer	Window Covering
Specialty Store	Shutter Manufacturer	Installer/Contractor
Drapery Workroom	Home Center	Interior Design
Mass Merchant	Home Builder	Land Developer
Building Materials Distributor	Architect	Real Estate Agent

How many locations are you currently operating?

How many years of shutter and/or blinds experience do you have?

Are you currently buying Lifestyle Blinds and Shutters products?

What other shutter manufacturers have you worked with in the past?

What percentage of your business is shutters?

What is your current monthly shutter volume?

Do you currently employ your own installers?

What type of shutter program will best fit your business? More than one (1) may apply:

Custom Panel Program	Stock Shutter Program	Stock Panel Program
Fabrication Program	Custom Shutter Program	Installed Program

Please give a brief description of the shutter market in your region (max. 800 characters)

In order to help us serve you, please let us know the purpose of your inquiry. (max. 800 characters)