Ongoing Service Form CompanyThis field is for validation purposes and should be left unchanged.Company Name(Required)Company Website(Required)Primary Company Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone(Required)We will design your moulding module to match your website. Is your current website the one we should use?(Required) Yes No Please note that in order to start your module, we will need the URL of the live site or staging site with the correct theming that should be applied to the moulding module in order to proceed. Someone from the YHD team will contact you for the most current info. Moulding ModuleGarden State Lumber must approve all submissions before YH Design begins module build Garden State Lumber Moulding Module Garden State Lumber must approve all submissions before YH Design begins module buildMoulding Module Payment Options(Required)Garden State Lumber Products will rebate full cost of Online Moulding Module at year-end.- Please Select -$250/month paid via credit card$3,000/year paid via credit card (first year prorated based on module sign up date)$3,000/year paid via check (first year prorated based on module sign up date)Total Other Offerings by Yellow House Design & MarketingSelect option(s) to receive more information NuCedar Module (Coming Soon!) Nantucket Beadboard Module (Coming Soon!) Content ManagementStay in front of your customers with stunning imagery & content through eNewsletters, Blogs, Social Media Posts and more Primary Contact Name(Required) First Company Role(Required)Email(Required) Phone(Required)Information Technology (IT) Contact First Email Phone Note: We will send instructions to your IT contact when we’re ready to launch.Billing Contact(Required) First Email(Required) Phone(Required)Please provide contact info where invoices should be sentAdditional Contact Name First Email PhoneGSL Salesperson Name(Required) First Email This field is hidden when viewing the formPhoneWish ListThe Wish List feature allows customers to generate a list of items that can either be emailed to your lumberyard directly or can be downloaded as a PDF to be printed or emailed in order to receive a quote from your inside sales team.Where should your Wish List notifications be sent?(Required)When a user requests a Wish List be sent to the store, this is the email address(es) it will go to per location. Use the (+) to add more locations. If you only have one location, you can use the company name as the name. Branch Name/City/StateEmail Contact(s) Add RemoveMoulding Module UpdatesWho should be notified when updates are made to the module?List the contacts below that should receive an email each time that an update is pushed to the module once install is complete (i.e. primary contact, inside and outside salespeople, purchasers, etc.). Click on the PLUS symbol to add additional contacts.First NameLast NameEmail Address Add RemoveNewsletter Signup Subscribe to the YH Design & Marketing newsletter to stay up to date on our most recent projects and offerings tailored to the building supply industry Clicking the submit button will submit the order to Yellow House Design & Marketing. Our team will follow up with scheduling and subscription payment options.
