Miraje

Contact Information

Title

First name *

Last name *

Email *

Phone *

Select a Product and Color for which you are requesting Quote:

Product Name *

Select Color*

Please Select Product First.

Select Size*

Select Quantity *

Project Details *

Please send scanned copies of the following documents to [email protected] with the name of the applicant listed in the subject line of the email.

Interior Design Certification/ Major Design Organization identification (e.g., NCIDQ, CCIDC, ASID, IIDA, AIA, APLD, ASLA, CID, IDS) OR Valid membership to a major residential or commercial development business organization (e.g., NAHB, NAA, etc)
Resale or Sales Tax Certificate
Copy of business card with your design profession

I AGREE TO TERMS OF DESIGN TRADE MEMBERSHIP

Must submit different request for each different product