Wholesale Application

Thank you for your interest in the PADShowroom!  If you are a retail store, department store, mail order catalog, interior designer or on-line store and would like more information on any of the wonderful lines we represent, would like to schedule an appointment in our showroom or arrange a private showing in your Orange County store, please fill in the form below.
* = Required Field
Business Name *
Business Owner / Buyer Name *
Business Address *
Suite #  
City *
State *
Zip Code *
Phone *
Fax
Country  
Email Address *
Website Address
  
Brief Description of Your Business  
How Did You Hear About The PAD Showroom? *
Please List The Product Lines That You Are Interested In  
Tax Exempt / Resale #
  
Do You Have a "Brick & Mortar" Store Or Are You An Online Retailer? *