place
6520 N. Powerline Road, Fort Lauderdale, FL 33309
Have Any Questions?
phone_in_talk
954.973.4700
Lotus Rep Login
New Customer Application
HOME
ABOUT
GALLERY
PRODUCTS
CONTACT
Download Current Price List (10/24/2023)
search
SEARCH BY:
SERIES
TILE COLLECTIONS
PerformX Series SPC
Stock Porcelain Slabs
COMING SOON
Top Sellers
WHILE SUPPLIES LAST
MATERIAL
PORCELAIN
Porcelain Slabs
WOOD LOOK PLANKS
SPC Vinyl Flooring
Sheet Tile – While Supplies Last
APPLICATION
FLOOR & WALL
WALL
Indoor / Outdoor
Porcelain Slabs
Online Purchase Order
SHOP BY:
Business Update Info Form
Home
chevron_right
Business Update Info Form
Please enable JavaScript in your browser to complete this form.
Current Name Of Business
*
Current DBA (Doing Business As) if Used
Business closing
*
No
Yes
Date of business closing
*
Change of Name of Business
New DBA (Doing Business As) if Used
Change Contact Name
*
First
Last
New Billing Address
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
New Ship to Address
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Primary Business Phone
Seconary Phone Number
Mobile Phone Number
Fax Number
New business email address
Email
Confirm Email
New accounting email address
Email
Confirm Email
Additional Business notes
Submit
Menu
