Dealer Application

Become a dealer

Please fill out the application. Once received we will review and confirm your information. If you do not hear back from us within 24 hours please email info[@]flushmount.com. Once processed, you will receive a user name and password.

1-480-440-0140

info{@}flushmount.com

    Name of Principle / Owner*
    Company
    Representative / Buyer*
    Email *
    Phone Number
    Years in Business
    Primary Sales Type:BuilderDesignerLighting Designer
    Showroom:YesNo
    Message