Interested in becoming a Coaster retailer or Ecommerce dealer? Please fill out the form below and we’ll get back to you as quickly as possible.
Please select one * Brick & Mortar Dealer
Owner First Name *
Owner Last Name *
Email *
Fax
Phone *
Mobile Phone
Address *
Address Line 2
City *
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Zip Code *
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Legal Business Name *
DBA (Doing Business As)
Company Website *
Sales Tax Certificate # *
Number of Stores *
Average Size of Store(s) (sq. ft)
Type of Business * Please Select OneBrick & Mortar Only – Single LocationBrick & Mortar Only – Multiple LocationsRent to OwnDesigner/StagerDistributorLiquidatorWarehouse/ClubOther
Type of Products Selling * (please check all that apply) FurnitureMattressesElectronics/AppliancesOther
If other please specify
Years in Business * Please Select OneLess Than 11-22-55-10More Than 10
Annual Sales Volume * Please Select OneLess than $500K$500K - $1M$1M - $4.99M$5M - $19.99M$20M +
Other Furniture Brands You Represent
Nearest Distribution Center * Please Select OneSouthern California (12909 Sandoval Street, Santa Fe Springs, CA 90670)*Northern California (9698 West Sugar Road, Tracy, CA 95304)Illinois (1550 Central Ave, Roselle, IL 60172)Texas (14901 Grand River Road, Fort Worth, TX 76155)New Jersey (45 Stuits Rd, Suite 2, Dayton, NJ 08810)Georgia (4300B South Fulton Parkway, Union City, GA 30349)Florida (10700 Enterprise Way, Miramar, FL 33025)
Industry Memberships (please check all that apply) BrandSourceHFAFMGFurniture FirstNationwideTRIBIAHSPRESAOther
Notes/Comments