Username & Password Request Form

First  Name:                  Last Name:  

Company Name:                  Acct #:   

Company Phone:      

My Position is:          - Select One - Designer/Sales Installer Manager Owner        My Business is:   - Select One - Shop@Home Store Front  

E-mail address:        

Requested User Name:    Requested Password*:

• Your password cannot be the same as your Username

• Your *password must be a minimum of 10 characters, including one number AND one symbol. Example:myshades4#

 My District Sales Manager is:   - Select One - Don't Know Andrew Dixon Carol Lindauer Celeste Leonetti Craig Keehn Erica Kermode Nena Vejzagic Pam Robinson Teresa Caldwell Tony Sterns  

As a Hunter Douglas West dealer with a username & password to "The Dealers Only Zone" you also qualify to receive "The Buzz". 

To Buzz or not to Buzz!   Please Select Yes, I want to receive the "The Buzz" I currently receive the "The Buzz" No thank you, I do not want to receive "The Buzz"

• Your new username and password confirmation will be emailed to you within a few hours  

• Weekend requests will be processed Monday morning

• After you complete this form click the Send Now button