Fill out the form below to register for our eDesigner program.Contact InformationName* First Last Company*Job TitleEmail* Phone #*Mobile #Fax #Mailing Address Street Address City State / Province / Region ZIP / Postal Code Trade VerificationResale # (sales tax registration)Issued BySelect one...AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificBusiness License #Issued BySelect one...AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificTrade AffiliationSelect one...American Institute of Architects (AIA)American Society of Interior Designers (ASID)Certified Interior Decorators (C.I.D.)Interior Design Society of America (IDSA)International Furnishings and Design Assoc. (IFDA)International Interior Design Association(IIDA)Member #EIN/TID (Employee ID) #Issued bySelect one...AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificHow did you hear about us?Select one...EmailASID (American Society of Interior Designers)CID (Certified Interior Designer)DSA (Designer Society of America)IAHSP (International Associate of Home Staging Professionals)Trade ShowRecommended by a friendOtherIf other, please specify (Max 20 Characters)Your Product NeedsPlease describe your purchasing of the items listed below, so we may serve you better:Hard window treatments (i.e. wood blinds, cellular shades, etc.)*Select one...SeldomOftenVery OftenNeverSoft window treatments (i.e. draperies, fabric, soft shades, etc.)*Select one...SeldomOftenVery OftenNeverUpon giving an email address when registering with 3 Blind Mice you are agreeing to receive product updates and/or email promotions. We respect your privacy and do not tolerate spam and will never sell, rent, lease or give away your information (name, address, email, etc.) to any third party.NameThis field is for validation purposes and should be left unchanged.Δ
