Create a Trade Account

Type of Business *Sole ProprietorshipPartnershipCorporationOther LLC

What best describes your company? (Please select one) *Furniture StoreHome Accents/Lifestyle StoreGift StoreKitchen/Bath ShowroomFlooring/Rug StoreCatalogDesigner (Office/Firm)Design ShopDesigner (Independent)HospitalityE-commerceTrade ShowroomArchitect/BuilderOther

Date Business Commenced *

How did you find about us? *RepresentativeDallas Trade ShowAtlanta Trade ShowNY NowLas Vegas Trade ShowHigh Point MarketWebsiteOnline/Social ChannelMagazine AdNews CoverageReferral

First Name *

Last Name *

Phone Number *

Company Name *

Brand Name *

Registered Address *

Registered Address 2 

Registered Town / City *

Registered Postcode / ZIP *

Registered Country and State *

Select a country / region…CanadaMexicoUnited States (US)

Select an option…AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces (AA)Armed Forces (AE)Armed Forces (AP)

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By Signing this agreement you agree to the Terms and Conditions contained herein. By submitting this application you authorize Orchids America LLC to make inquiries into the banking and business/trade references that you have supplied. *

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Applicant agrees to pay any collection cost incurred to collect the account balance including court costs collection fees and attorney’s fees of not less than 30% of the unpaid principal plus interest. As an inducement to grant credit the undersigned agrees to the need for verification of all information on this application authorizes and releases all banks businesses and persons identified on this application to furnish any and all information requested by Orchids America LLC. The undersigned warrants that the information is true and correct. *

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