SpecialtyStainless.com Dealer Sign Up

	August 29, 2008

Online Dealer Area - Keeping You Informed!

Please complete the following information to request access to our Online Dealer Area. Your information will be verified and an email will be sent when your account is activated. Please make a note of your user name and password for future reference.

Username :

Choose a Username

Password :

Choose a Password

Contact Name :

Title :

Business Name :

Street Address :

City :

State :

Zip Code :

Phone :

Including Area Code

Fax :

Including Area Code

Website Address :

Email :

(required for response)

We Have a Show Room :

Yes No

Show Room Address
(If different) :

Show Room Sq. Footage (aprox) :

Year Business Established :

Annual Sales :

Countertop Sales :

Number of Designers :

: Full Time CKD
: Part Time CKD
: Other

Current Countertop Material Offerings :

Laminate	Solid Surface	Concrete	Tile
Granite	Stainless Steel	Stone	Other

Our Current Interest is :

Customer Project

Ad to Our Line

Future Needs

Show Room Display

We Found SpecialtyStainless.com By :

NKBA Website	Post Card	Magazine Ad In:
Google Search	Yahoo Search	Other