Element Designs

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Please complete the form to create a business account with Element Designs(* required fields).

Company _*

Business Category _*

Industry _*

Website

Purchasing Contact First Name _*

Purchasing Contact Last Name _*

Title _*

Purchasing E-mail _*

Phone Number _*

Shipping Street _*

City _*

Country _*

State/Province _*

Zip code _*

Billing Address

Same as above

Street address _*

City _*

Country _*

State/Province _*

Zip code _*

Accounting Details

Same as Purchasing Contact

Accounting Contact

Accounting E-mail Address

Federal Tax ID#

Tax Exempt
Yes No

Resale Tax ID#

Will you require a lift gate to receive palletised shipments? (Additional fees may apply.)

Yes No

Notes or Special Instructions?

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Element Designs

Physical Address:
235 Crompton Street
Charlotte, NC 28273

Register

This form has been optimized to work best with Google Chrome. Click here to make sure you have the most recent version.

Billing Address

Accounting Details

Will you require a lift gate to receive palletised shipments? (Additional fees may apply.)

Captcha validation is required

Element Designs

Element Designs

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