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DESIGNER APPLICATION
To apply to our "Designers Only" discount, please complete this application. You may call with any questions, 520.869.1178.

Your Name
Company Name
Mailing Address
Address2
City
State      Zip
Telephone
Fax number
Email (required)

QUALIFICATION REQUIREMENTS

1. Please submit at least one of the following numbers or email a scanned copy of document.

Membership Type
2. If applicable, your tax exemption ID number:
   
How did you hear about our Designers Only program?
 
Have you shopped PrimaDonna Boutique previously?


Which categories interest you most? Furniture     China     Linens
Rugs     Crystal     Lighting
Approximately how much do you spend annually on home furnishings?
If you would like a confirmation email, please enter the characters you see in this image:
Image verification
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- Email questions regarding registration and credentials to tamara@primadonnaboutique.com -

NOTE: Membership is contingent upon receipt of appropriate credentials and completed application. Non-design-related businesses or professions may not qualify for the program. We reserve the righ to make all membership determinations at our sole discretion. For design firms or partnerships, each designer on staff must apply individually for membership in this program. Approved members will receive an email within two business days confirming membership and benefits.

This is a membership application, not a credit card application. Please read our Terms & Conditions. If you have any questions, please contact a PrimaDonna Boutique associate at 520.869.1178 or email info@primadonnaboutique.com