Showroom Registration Form
Please fill out the below to become an authorized Element Designs showroom location. By submitting this form you agree to maintain Element Designs products on a working showroom display and you also grant permission for any images of your product display to be used by Element Designs. Your business contact and information will be made available on the Element Designs' website as submitted here, for any revisions or changes please email info@element-designs.com 
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First Name *
Last Name *
Title
Your Email Address *
Showroom Contact - Email Address (if different)
Showroom Contact - Phone Number
Company *
Company Website
Business Address: Street *
Business Address: City *
Business Address: State *
Business Address: Zip *
Do you have a Showroom Design Center? (The pedestal display) *
What Element Designs products are displayed in your showroom (if any others or if you do not have an SDC)? *
Required
Would you be interested in having marketing images to share on social media?
Clear selection
If yes, which social media platform(s) do you use and please provide your handle.
Would you like to receive a physical copy of our most recent catalog?
Clear selection
Submit
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