Form Dealer Addendum Please read carefully and fill it out completely! Are this a New Dealer? * Yes No Dealer Selection — Select — Allens Home | 7808 L St Omaha, NE 68127 Andreas Furniture | 114 Dover Rd NE, Sugarcreek, OH 44681 Annabelle’s Fine Furniture | 8722 N Mobley Rd Odessa, FL 33556 Ariana Home Furnishings | 325 Brannon Rd Cumming, GA 30041 Art Sample Furniture | 1740 N Michigan Ave Saginaw, MI 48602 Artis Furniture | 2655 100th St SW Byron Center, MI 49315 Avanti Fine Furniture (Nichols & Stone Only) | 10273 W Lincoln Hwy Frankfort, IL 60423 Bartlett Home Furnishings | 2755 Bartlett Blvd Bartlett, TN 38134 Betty Rumpf Interiors | 4338 Central Ave Toledo, OH 43615 Birmingham Wholesale | 2200 2nd Ave S Birmingham, AL 35233 Bondars | 6999 11 St SE Calgary, AB T2H 2S1 Braden’s Lifestyles | 11105 Turkey Dr Knoxville, TN 37934 Select One — Select — Case Goods Designer Rugs Nichols and Stone Origins by Stickley SFU Upholstery & Leather Do they Carry all Options? — Select — Yes No Collection Classics Cherry Classics Mahogany Grand Lodge John Widdicomb Mission Pasadena Bungalow Portfolio 120 St Lawrence St. Croix Stickley Starters Studio by Stickley Walnut Grove Collection Classics Cherry Classics Mahogany Grand Lodge John Widdicomb Mission Pasadena Bungalow Portfolio 120 St Lawrence St. Croix Stickley Starters Studio by Stickley Walnut Grove Designer Rugs Designer Rugs Nichols and Stone Nichols and Stone Origins by Stickley Dwyer Gable Road Revere Upholstery & Leather Sectionals 100 Selectional 300 Selectional 400 Selectional 500 Selectional 7000 Selectional Upholstery & Leather A - C Alameda Ardmore/Swarthmore Arlington/Malden Baldwin Bay Hill Bayport Beacon/Santa Cruz Berkeley Berwyn Blowing Rock Booth Bay Boulder/Fargo Brentwood Brownstone Charlottesville Chelsea Cheyenne Chicago Chino Cocktail Ottoman Cohiba/French Roast Collingswood Copperfield Cube Ottoman Cypress Upholstery & Leather D - K Dartmouth Decatur Delray Devon Durango Edina/Wayzata Edmonton Eldorado Elroy Essex Glenwood Grisham Haven High Line Hudson Huron Indio Irving Place Jackson Jensen Keeler Kips Bay Upholstery & Leather L - P Lakewood Le Mans Leopold's London Longwood Maitland Malvern Marble Falls Melbourne Memphis Michigan Ave Monterey Natick Newbury Oak Park Oberlin Ocean Blvd. Odessa Pacific Heights Palladium Paris Park City Park Ridge Pinehurst Pita Port Royal Portfolio 120 Princeton Upholstery & Leather Q - W Quadrant Ritz Salem Salinger San Gabriel Santa Fe Seabrook Sedona Sherburne Somerville Tacoma Tempe Tibbett Versailles Waterville Wheaton Winter Park Woodlands Mission Havel Ellis Highlands Park Slope
