Home > How to Buy > Become an Insolroll Dealer Become an Insolroll Dealer Note: If you don't finish the form now, click on "Save and Continue Later" at the bottom of the form. "*" indicates required fields This field is hidden when viewing the formDate MM slash DD slash YYYY Company InformationCompany Name*Please include DBA if applicable.Company Website*Owner's Name*Company address* Street Address City State*Please select your state by its standard 2 letter abbreviation.ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYASGUMHFMMPPWPRVIABBCMBNBNLNTNSNUONPEQCSKYTZip Code* ZIP Code Business Phone*FAXReseller InformationAre you in a state that does NOT have sales tax?*These states are: Alaska, Delaware, Montana, New Hampshire, and Oregon. Yes No Enter your tax exempt reseller number:*Please upload a digital copy or photo of your reseller permit:*Accepted file types: jpg, png, pdf, Max. file size: 50 MB.Does your reseller permit have an expiration date?* Yes No Expiration Date MM slash DD slash YYYY Primary Contact InformationFirst Name*Last Name*Primary Contact Email* Primary Contact Cell Phone*How do you prefer that we contact you?* Email Cell Phone Text Billing InformationBilling Contact*Billing Contact Email* Shipping InformationShipping Address Street Address City This field is hidden when viewing the formState State / Province / Region Zip Code* ZIP Code Sales InformationWhat Insolroll products are you most interested in? Check all that apply: Insolroll Residential Solar and Blackout Shades Insolroll Commercial Solar and Blackout Shades Insolroll Elements Decorative Roller Shades Exterior: Oasis Patio Shades Exterior: Oasis Retractable Insect Screen Shades Exterior: Oasis Driven by Lutron Insolroll Motorization Custom Printed Shades Anticipated Annual Sales of Insolroll Products* $0–10,000 $10,001–25,000 $25,001–50,000 $50,001–100,000 $100,000+ How many sales people will be promoting Insolroll?*Salesperson 1Salesperson 2Salesperson 3Salesperson 4If none, list NASalesperson 5If none, list NANumber of years in business*Which best describes your primary business? Window Covering Retailer Integrator Design Firm Architectural Firm Builder/ GC Awning Retailer Office Design Other Do you have a showroom? Yes No Multiple If multiple, how many?Service Area*Distance in miles you will travel*Market InformationWho are your top 3 window covering suppliers?Who are your 3 largest competitors in your market?How did you hear about us? Check all that apply:* Google Search Web search: other Window Fashion Vision Magazine CEDIA IWCE Lutron Rep Lutron Corporate Facebook Instagram YouTube Twitter LinkedIn Houzz Pinterest Other American Window Covering Buying Network If "Other", please listYour information and your privacyInsolroll will use the information provided to establish a dealer account, if approved. Insolroll will not sell or provide this information to any 3rd party.I have chosen to provide this information for Insolroll's internal use only.* AgreeNameThis field is for validation purposes and should be left unchanged.
