New Account Registration Form

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THIS FORM IS FOR LEGENDS INTERNAL PURPOSES ONLY. THIS FORM IS TO BE FILLED OUT BY THE SALES REPRESENTATIVE OF LEGENDS FURNITURE, INC. OR THE CUSTOMER.

ORDERS CANNOT BE PROCESSED WITHOUT THIS FORM BEING COMPLETED AND RECEIVED BY THE CORPORATE OFFICE.

Legal Company Name *

DBA Name (If Applicable) *

Email *

Billing Address *

Shipping Address *

Phone number *

Buying Group *

AMI

Brand Source

FMG

Nationwide

Furniture First

None

Order/Buyer Contact information *

Please provide the Name and Email of the person to contact regarding orders.

AP Contact information *

Please provide the Name and Email of the person to contact regarding AP.

Shipping Contact information *

Please provide the Name and Email of the person to contact regarding shipping.

Parts Contact information *

Please provide the Name and Email of the person to contact regarding parts.

Freight Carrier *

Please state below if you would like to arrange your own freight or use our freight company with prepaid freight terms. If arranging own freight please provide Company Name and contact information.

Sales Rep Name & Rep #

Please disregard if you do not know who your sales rep is. One will be assigned based on territory.

AMP Information *

Please provide all emails you would like to have access to our online ordering platform.

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