Dealer Registration

If you would like to become a dealer for Blue Valley Cabinets, please fill out the application below. We feel strongly that working together we can create a long lasting and beneficial relationship. We truly appreciate your interest and someone from our team will be reaching out to you.

- Step 1 of 5

Business Name *

Legal Name

Established *

Start Date

Business License *

License Number

State *

State Registered

Expiration *

Renewal Date

Formation Type *

• Corporation
• Partnership
• Sole Owner
• Other

Sales Tax *

• EIN
• Tax ID

Website

Business Web Address

Other Business *

You've chosen "Other". Explain?

EIN# *

Employer Identification Number

Tax ID# *

Tax Identification Number

Tax Document *

• Sales Tax License
• Resale Certificate

If a copy of the Sales Tax License or Resale Certificate is not provided, sales tax will be collected by BVC.

Document Upload *

Click or drag files to this area to upload. You can upload up to 5 files.

Must be a valid PDF file

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Business Owner *

First

Last

Owner Phone *

Owner Email *

POC Confirm

• Owner is the Point of Contact

Point of Contact *

First

Last

POC Phone *

POC Email *

Purchasing Agent 1 *

First

Last

Purchasing Agent 2

First

Last

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Business Address *

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Billing Address Confirm

• Billing is the same as the Business address

Billing Address *

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

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Business Purpose(s)

• Retailer
• Distributor
• Interior Designer
• Architect
• Contractor
• Builder
• Developer
• Other

Payment Preference(s)

• Wire Transfer
• Business Check
• Personal Check
• Cashier Check
• Money Order
• Credit Card
• Debit Card
• Cash
• Bitcoin

Referred By

• Co-Worker
• Friend
• Television Ad
• Magazine Ad
• NC Garden & Home
• KBIS Show
• Search Engine
• Social Media
• Other

Referred By (Continued)

You've chosen "Other". Explain?

Business Reference(s)

• Yes, I have a reference

Reference 1 *

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Phone *

Reference Phone

Fax

Reference Fax

Reference 2

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Phone

Reference Phone

Fax

Reference Fax

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Required Documentation *

Interior Designer:

1. Copy of current State Sales Tax license

2. Proof of a business Checking account

3. A copy of that member's State Sales Tax License

Architect:

1. Copy of current state architect's license

2. Business Card

3. Proof of a business Checking account

Retailer:

1. Copy of current state Tax license

2. Business Card

3. Proof of a business Checking account

Contractor, Builder, or Developer:

1. Copy of current city or county's contractor's license, if applicable

2. Business Card

3. Copy of driver's license

Upload Documentation *

Click or drag files to this area to upload. You can upload up to 10 files.

Legal Disclosure *

• Yes, I accept all policies

By accepting, you agree to the following: Warranty, Refunds, Privacy, and the Terms of Service.

Authorization Name *

First

Last

By signing below, you are authorizing the Purchasing Agent(s) listed on this application to be registered with BVC under your EIN number or your state sales tax ID.

Authorized Signature *

Clear Signature

Use your mouse, stylus, or finger to e-sign (above).

Submit Application