17319 Blaine Drive Hagerstown, Maryland 21740 PHONE (301) 797-6500 FAX (301) 797-2510 fax

Print or download the form, fill it out, and either scan and email the form to: accounting@blainewindow.com OR fax the form to 301-797-2563. ***** Please select the form below that best fits your business structure. ***** Institutional Accounts: Any Federal, State, City or County Government. Military, Hospitals, Schools (Public/Private) including Colleges, Housing Authority or Prisons. ***** Resale Accounts: Apartments, Condominiums, Churches, Construction/Home Improvement Companies, Building Supply Companies, Hardware Stores, Manufacturers, Glass/Screen Companies, Hotel/Motels, and Property Mgmt/Real Estate