New Customer Form | Panhandle Door

Tell Us About You...

First name

Last name

Phone

Phone Type

Office

Cell/Mobile

Home

Email

Multi-line address

Country/Region

Address

City

Zip / Postal code

Are you a business owner?

Yes

No

Note: All New accounts are set to RETAIL prices by default. Wholesale prices will be added to business accounts at set up.

If No, please describe what you're looking for:

Preferred username for account

Business Name

Your Company Website

Job Title

EIN Number (Business Owners)

I acknowledge that in order to receive WHOLESALE prices, Panhandle must have my EIN Number.

Shipping Address (If different from above)

Approximately how many kitchens/bathrooms does your business do per year?

How can Panhandle help you succeed? What problems can we solve for you?

Panhandle Door Inc. is committed to protecting and respecting your privacy, and we'll only use your personal information to administer your account and to provide the products and services you requested from us. From time to time, we would like to contact you about our products and services, as well as other content that may be of interest to you. If you consent to us contacting you for this purpose, please select the checkbox below to say how you would like us to contact you:

I agree to receive other communications from Panhandle Door Inc.

In order to provide you the content requested, we need to store and process your personal data. If you consent to us storing your personal data for this purpose, please select the checkbox below.

I agree to allow Panhandle Door Inc to store and process my personal data.

You can unsubscribe from these communications at any time. For more information on how to unsubscribe, our privacy practices, and how we are committed to protecting and respecting your privacy, please review our privacy policy.

I acknowledge that in order to be tax exempt, Panhandle will need my Reseller Permit/Resale Certificate (attach below).

RESELLER PERMIT

New Customer Sign Up

Tell Us About You...