PRODUCTS RESOURCES ABOUT CONTRACTS CONTACT home resources dealers dealers Durfold is excited to offer the below forms and information for our ever-growing network of dealers and distributors. If there is additional information that you would like or if you have any recommendations on how our company can become your preferred healthcare furniture supplier, please leave us a note in the comments area. Thank you, in advance, for reaching out. Please select the forms and information you are interested in and complete the contact information to receive the selected electronic file. FULL NAME * POSITION / TITLE * DEALER / DISTRIBUTOR NAME * CITY * STATE AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY ZIP CODE * EMAIL ADDRESS * COMMENTS Dealer Credit Application Dealer Spiff Form RECAPTCHA Checkboxes Option 1 Option 2 Dealers Events Brochure Finishes Textiles Be Informed interested in durfold seating for your hospital? Need more information? A Durfold representative can help you determine your needs and recommend products that best fulfill your requirements. Let’s get started! FIRST NAME * LAST NAME * ROLE Administrator Architect Big Cheese Dealer / Distributor Director of Nursing Director of Facilities Equipment Planner Interior Designer Head Honcho Materials Manager Nurse Office Manager VP of Everything COMPANY CITY * STATE * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming EMAIL * Durfold Corporation 102 Upton Drive Jackson, Mississippi 39209 T 601.922.4144 F 601.922.6244 Product Categories Bariatric Benches Casegoods Gliders + Rockers Guest Hip Chairs Lounge Modular + Multiple Patient Recliners Sleepers Tables Product Applications Patient Room Treatment Waiting + Lounge Product Collections Arlington Fairchild Hover Jamestown Lawson Leslie Marlow Milford Newport Orleans Oxford