Scalamandre New Account Application


Please enter all of the information below (required fields in red)

Account Name
Addr1
Addr2
City
State
Zip
Country
Contact

TelephoneFaxEmail
State Sales Tax NoExpiration DateNY State O.S.R NoO.S.R. Expiration Date

Primary Type of Clientele
Residential
Commercial/Contract
Restoration
Business Classification (select one)
Designer with Business
Designer-No Shop
Drapery Workroom
Upholsterer
Hosptality
Department Store
Furniture Store
Wallpaper Studio
Architect
Government (U.S.)
 Contract Specifier
Furniture Manufacturer
Museum
Bank
Other
Antique Dealer
Carpeting
Contractor
Funr/Distributor
Paint Store/Studio
 Theater
Facitlities Educational
Facitlities Health Care
Facilities Corporate
Government (Non U.S.)
Magazine/Publications
Enter Account#
Brunschwig & Fils, Inc.Clarence House of FabricsCowtan & Tout
Decorators WalkDuralee FabricsKravet Fabrics
MaharamSchumacher & Co.Stroheim & Roman
Westgate Fabrics
Type of Account (select one)
OPEN N/30
PROFORMA
Order Requirements (select one)
Customer Purchase Order Required
Dept no. Required
Comments