AP Member Project Registration
MEMBER INFORMATION
Member Name
Member Email
Member ID
5-Digit # provided upon Membership Approval.
* If you cannot find your Member ID, please call the showroom at (314) 429-0972. Anyone can assist you. If you're completing this form outside of standard showroom hours please contact your salesperson directly.
CLIENT INFORMATION
Client(s) Name
Contact(s)
Contact Name
Phone
Email
Billing Address
Street
City
State
Zip
Project Shipping Address same as Billing Address?
Yes
No
Shipping Address
Street
City
State
Zip
PROJECT DETAILS
Project Type
Please select...
Remodel
Replacement
New Construction
Other
If "Other" project type, please provide a brief description:
Replacement Product
Product Category
Please select...
Indoor Kitchen
Outdoor Kitchen
Bar & Beverage
Laundry Care
Product Type: Indoor Kitchen
Please select...
Cooktop
Dishwasher
Full-Size Refrigeration
Microwave
Range
Ventilation
Wall Oven
Warming Drawer
Other
Product Type: Bar & Beverage
Please select...
Beverage Dispenser (Kegerator or Wine)
Coffee Machine
Full-Size Bar Refrigeration
Full-Size Wine Storage
Ice Machine
Under-Counter Beverage (Refrigeration + Wine)
Under-Counter Refrigerator
Under-Counter Wine Storage
Other
Product Type: Laundry Care
Please select...
Stacked
Side-By-Side
Other
If "Other" product type, please provide a brief description
Additional Project Details
Estimated Appliance Budget
Please upload any files relevant to appliance selections and/or specifications.
APPOINTMENT REQUEST
Authorized Salesperson
Please select...
Aldin Hasic
Daron Deen
Hoyt Reed
Kent McIntyre
Shari Budde
Shane Byrom
Jake Bonura
Andrew Joyce
Date
Time
Appointment Attendees
I will attend the showroom appointment
Yes
No
Will there be additional attendees (architect, designer, contractor, etc.)
Yes
No
Additional person who may attend
Relationship to project
Contact Information