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MAK$HOME(TRADE(SALES(MEMBERSHIP(APPLICATION(
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Company!Name!! _____________________________________________________________________________________________!
Business!Address! _____________________________________________________________________________________________! !
Street! !
_____________________________________________________________________________________________!
State!/!Province!!! __________________________________________!!!
!Zip!/!Postal!Code!__________________!
Website! !
_____________________________________________________________________________________________!
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Member!Name/s!(please!list!each!member,!at!least!on!is!required)!
First!Name!!
_____________________________________________________________________________________________!
Last!Name!
_____________________________________________________________________________________________!
Title!
!
_____________________________________________________________________________________________!
Phone!! !
___________________________________________!!Fax!!___________________________________________!
Email!! !
_____________________________________________________________________________________________!
!
Member!Name/s!(please!list!each!member,!at!least!on!is!required)!
First!Name!!
_____________________________________________________________________________________________!
Last!Name!
_____________________________________________________________________________________________!
Title!
!
_____________________________________________________________________________________________!
Phone!! !
___________________________________________!!Fax!!___________________________________________!
Email!! !
_____________________________________________________________________________________________!
!
Member!Name/s!(please!list!each!member,!at!least!on!is!required)!
First!Name!!
_____________________________________________________________________________________________!
Last!Name!
_____________________________________________________________________________________________!
Title!
!
_____________________________________________________________________________________________!
Phone!! !
___________________________________________!!Fax!!___________________________________________!
Email!! !
_____________________________________________________________________________________________!
!
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Number!of!employees!in!your!company!!(optional)!!____________!
Annual!spending!on!furnishings!(optional)!!_________________!
Primary!project!type!&!business!focus!
_____!
Architect!
_____!
Interior!Designer!
_____!
Contractor!
_____!
Commercial!Developer!
_____!
Hospitality!
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Business!Documents!
Please!attach!at!least!on!of!the!following:!
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Current!business!or!state!professional!license,!in!a!residential!or!commercial!designQbased!business!or!
the!Hospitality!industry!
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Proof!of!current!AI!or!IDI!provincial!registration!
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Business!ID!number!
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Proof!of!current!ASID!membership!
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Interior!design!certification!(e.g.!NCIDQ,!CCIDC)!
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W9,!Federal!ID!form,!or!EIN!number!
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Resale!of!Sales!Tax!Certificate!
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If!you!intend!to!purchase!merchandise!for!resale,!you!will!be!required!to!supply!a!Resale!or!Sales!Tax!Certificate.!!
Without!this!documentation,!sales!tax!will!be!applied!to!all!orders.!
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*!After!submitting!your!application!to!MAKQHome,!you!will!receive!a!confirmation!email!that!you!have!been!
approved!for!our!membership!program.!!!
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Return(by(email(to(meg@mak$home.com(or(by(FAX(to(781$373$5498.(
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