Sign up to create an account - NEXTGEN SURFACES

Business details

Legal Business Name *

Business Address *

Address Line 1

Address Line 2

City

State

Zip Code

Years in business under this entity *

Type of business *

We do not work with homeowners directly.

Number of employees

Years at this location *

Do you have a website?

Point of contact details

Name of owner/point of contact *

First

Last

Email *

Phone *

Federal TAX EIN number

Enter your EIN *

Accounting Details

Does the same person handle Accounting (Accounts Payable) *

Re-sale Certificate?

Do you have a resale certificate for your state? *

Please attach your resale certificate (If available) :

Click or drag files to this area to upload. You can upload up to 5 files.

You can send this later along with your order as well. Please note: Resale is only valid from the date of receipt.

Signature

Please sign below

Clear Signature

I, signed above agree that all the information entered in this form is accurate to the best of my knowledge.

How did you hear about us?

Create an account at NEXTGEN Surfaces.