Customer Onboarding Form
*Company Name
Trade Name
Website Address
Primary Contact
*First Name
*Last Name
*Email Address
Type of Business
Architect, Builder, Contractor
Catalog
Chain (Stores>20)
Discounter
Distributor
Etail - B2B
Etail - B2C
Flash Sites
Hospitality
Independent (Stores<5)
Interior Design - Showroom
Interior Design-NO Showroom
International - Chain
International - Distributor
International - Hospitality
International - Independent
International - Interior Design
Lighting Showroom
Manufacturer
Mass Merchant
Multi-Store (5<Stores<20)
OEM
Specialty Retailer
*Address (Bldg., Floor No.)
*Address (Street)
*City
*State
Alabama
Alaska
Alberta
Arizona
Arkansas
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
British Columbia
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland
North Carolina
North Dakota
Northwest Territories
Nova Scotia
Nunavut
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Island
Puerto Rico
Quebec
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon
*Zip
Business Information
No. of Locations
Year of Business Started
*Resale No.
*Federal Tax ID No.
Upload your Resale Certificate
Contact Information
Accounts Payable Contact Person
Accounts Payable Email
Order Acknowledgment Contact Person
Order Acknowledgment Email
Shipping Contact Person
Advance Shipping Notice Email
Warehouse Contact Person
Warehouse Email
Customer Care Contact Person
Customer Care Email
Inventory Contact Person
Inventory Contact Email
Information on 3rd Party Billing for Shipping
We need your 3rd party billing so we can ship on your account.
3rd Party Billing Options
Option1: Use my 3rd Party Billing Information - FedEx
Option 2: Use my 3rd Party Billing Information - UPS
Option 3: Vendor to prepay and add shipping costs
UPS Account No.
Fedex Account No.
UPS Contact Person
Fedex Contact Person
UPS Address
Fedex Address
UPS ZIP Code
Fedex ZIP Code
Information Needed to Process Bills
Please provide your credit card details in order for us to process your bills.
Credit Card Type
American Express
Mastercard
Visa
Credit Card No.
Cardholder Name
Expiration Date
Pick
Security Code
Blanket authorization granted for all future invoices
Authority To Sell
Our intention is to sell NOVA of California products exclusively on our websites
We wish to apply to sell NOVA of California products at MAP on the following 3rd party sites
List of Websites
List of 3rd Party Sites
Compliance
I have read NOVA's
Returns & Exchange Policy
and will ensure we are in compliance.
I have read NOVA's
MAP Policy
and will ensure we are in compliance.
Additional Information
Please select any information below that you would like us to provide you.
Catalog
Price List - Trade
Web Trade Access
Price List - Wholesale
Credit Application
Price List - Retail
Cut Sheets on specific SKU
Swatches
Before you submit this form, we are happy to share our
NOVA ATTRIBUTE SHEET 2024
for your review and uploading.
We do require strict adherence to MAP pricing for all active SKUs. All clearance SKUs are not subject to MAP.