Enrollment
Sign In & Authentication Information
*
denotes a required field
*
User ID
The User ID must be at least 6 characters in length and must contain the following: (2 alpha characters, 2 numeric characters) OR it can be an email address.
*
Password
The Password must be at least 6 characters in length and must contain the following: (2 alpha characters, 2 numeric characters).
*
Confirm Password
*
Security Question
--- SELECT ONE ---
Mother's Maiden Name
Father's Middle Name
Year Father Was Born
Year Mother Was Born
First Pet's Name
*
Answer
Profile Information
*
First Name
*
Last Name
*
Company
*
Street Address
*
City
*
State
--- SELECT STATE ---
AL - Alabama
AK - Alaska
AZ - Arizona
AR - Arkansas
CA - California
CO - Colorado
CT - Connecticut
DE - Delaware
DC - District Of Columbia
FL - Florida
GA - Georgia
HI - Hawaii
ID - Idaho
IL - Illinois
IN - Indiana
IA - Iowa
KS - Kansas
KY - Kentucky
LA - Louisiana
ME - Maine
MD - Maryland
MA - Massachusetts
MI - Michigan
MN - Minnesota
MS - Mississippi
MO - Missouri
MT - Montana
NE - Nebraska
NV - Nevada
NH - New Hampshire
NJ - New Jersey
NM - New Mexico
NY - New York
NC - North Carolina
ND - North Dakota
OH - Ohio
OK - Oklahoma
OR - Oregon
PA - Pennsylvania
RI - Rhode Island
SC - South Carolina
SD - South Dakota
TN - Tennessee
TX - Texas
UT - Utah
VT - Vermont
VA - Virginia
WA - Washington
WV - West Virginia
WI - Wisconsin
WY - Wyoming
*
Zip Code
*
Phone
*
Email
Profile Questions
*
How many people are in your company?
1-15
16-30
31-50
51-75
More than 75
*
How many years have you been with this company?
1-5
6-10
11-15
More than 15
*
Category that best describes your business:
Contractor
Remodeler
Builder
*
Select the choice that best describes your primary business sector:
Commercial
Residential
Both
*
What is the most important criteria for selecting a product?
Familiarity / comfort with the brand
Ease of use/installation
Product availability
Warranty
Price
Purchase benefits
Made in the USA
*
What is the 2nd most important criteria for selecting a product?
Quality/Reliability
Brand Reputation
Warranty
Price
Purchase benefits
Made in the USA
*
What type(s) of flooring does your company specialize in? (Select all that apply)?
Hardwood
Ceramic
Stone
LVT
Vinyl Sheet
Rubber
VCT
Carpet
Other
*
Which distributor do you most frequently use for commercial flooring products?
*
When you think of Bostik products, what word comes to mind?
Who is your preferred Distributor?
Referred by (Name of Distributor Sales Rep):
ENROLL
