PFN Enrollment - Columbia Forest Products

First Name*

Last Name*

Are you a(n)...?*

Company Name*

Job Title*

Email Address*

Company Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Phone Number*

Fax

Website

FSC® Certified?*

CoC#*

Additional Contacts

Select any additional contacts and fill out their information below

Sales Contact
Marketing Contact
Purchasing Contact
Design Contact

Sales Contact

Name

Title

Office Phone

Mobile Phone

Email

Marketing Contact

Name

Title

Office Phone

Mobile Phone

Email

Purchasing Contact

Name

Title

Office Phone

Mobile Phone

Email

Design Contact

Name

Title

Office Phone

Mobile Phone

Email

Background Information

Number of Employees

Annual Revenue

Years in Business

# HPWPW panels used / month

Served through (distributor)

Products

Products you make (select as many as apply)*

Other Product:*

PFN Membership Agreement*

I have read and accept the PFN membership agreement

Privacy Statement*

I agree to the Privacy Statement

What is the last letter in the word "Purebond"?*

Name

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