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Your Name

Company

Phone #

Email Address

Street Address

City

State/Province

Zip/Postal Code

Comments

Please complete the following information so that we may better serve you.

This is a

Home Address     Studio Address

Do you have an account with Pindler & Pindler, Inc.?

Yes     No

The Primary focus of your Business:

Interior Design Firm
Architectural Firm
Retailer with Interior Design Department
Workroom
Upholstery Shop
Student

Your Business Focus:

100% Residential
75% Residential / 25% Contract
50% Residential / 50% Contract
25% Residential / 75% Contract
100% Contract

Your Sample Library:

I keep sample books
I keep folded/hanging samples
I use the showroom and company websites
I do not keep a library