Admission Registration

Name:

Company Name:

Position / Title:

# of years in this position:

If self-employed, # of years in business:

Professional Affiliations:

Current Business Address:

City:

State:

Zip:

Business Phone:

Fax:

E-Mail Address:

Professional work experience prior to current postion:

1) Company:

Position / Title:

# of years in this position:

2) Company:

Position / Title:

# of years in this position:

Please check ONE of the following three categories that best describes your profession:

Interior Designer Architect Related Industry

Please check ALL of the following that apply to you:

Architect*

Fabricator

Builder*

Installer

Corporate Purchaser

Retail Store Owner

Dealer

Specifier

DESIGNER (Contract)

Upholsterer

DESIGNER (Residential)

Workroom

DESIGNER (on staff at retail store)

OTHER (please explain below)

OTHER:
(if no area is marked above, please explain - in full - your trade relationship)

*please drop off, mail or fax us (248.649.1224) a copy of your builder's or architect license

Types of products sold:

School or University where you received your trade education:

Major:

# of years:

Degree Rec’d:

Vendors / Manufacturers with whom you have open accounts:
(not necessarily at MDC)

By clicking on the SEND button below, I am certifying that all of the information I have provided is correct. Further, I understand that my application will not be reviewed until I have submitted all of the necessary support information as listed below.

Please submit the following support information via fax (248.649.1224) or mail to 1700 Stutz Drive, Suite 25, Troy, MI 48084:

TWO showroom authorizations (click here for form | 400K pdf)
business card
copy of certificate for sales tax I.D. (a Business License if out of state)
copy of invoice or voided company check
copy of drivers license
copy of builder's or architect license (if applicable)
$25 registration fee for 2 years or $15 renewal fee for 2 years; $5 replacement fee for lost cards

Please Note:
Providing your company meets the requirements as stated in our registration policy, your registration card will be issued within 10-14 days after receipt and approval of this completed form and all support information.

FOR COMPANIES ALREADY REGISTERED WITH MDC: AN APPLICATION FORM, BUSINESS CARD AND DRIVER'S LICENSE MUST BE SUBMITTED FOR EACH STAFF MEMBER THAT WISHES TO UTILIZE MICHIGAN DESIGN CENTER AND IT’S SERVICES. IN ADDITION, WE MUST RECEIVE A LETTER, ON COMPANY LETTERHEAD, VERIFYING THE EMPLOYMENT OF EACH APPLICANT AND STATING THAT EACH IS ALLOWED TO BE ADDED TO THE COMPANY REGISTRATION.

TERMS & CONDITIONS | PRIVACY POLICY