Travel + SPIFF Enrollment Form

If you already have an Incentive ID#, please do not complete the form below. If you have misplaced your Incentive ID# or have questions/updates to your personal information, please complete the Contact Form or email us at marketing@indianafurniture.com.

Legal First Name

Legal Middle Name

Legal Last Name

Preferred First Name

Home Address

Address Line 1

Address Line 2

City

Country

State

Provinces

State/Province

Postal Code

Business Address

Company/Dealership Name

Address Line 1

Address Line 2

City

Country

State

Provinces

State/Province

Postal Code

Business Phone

Your Indiana Furniture Representative Group

I am a:

Dealer Principal
Dealer Sales Representative

By clicking the box below, I certify that I have permission and choose to participate in the Indiana Furniture Travel and/or SPIFF Programs.

I certify I have permission to participate in both the Travel and SPIFF Programs.I certify I have permission to participate in the SPIFF Program only.I certify I have permission to participate in the Travel Program only.

Direct Deposit for SPIFF Payments

Prefer to opt out of direct deposit.

Opt outOpt in (Recommended to receive monthly payments)

Payment Information

Name of Checking Account

Financial Institution

City of Financial Institution

State of Financial Institution

9-Digit Transit/Routing (ABA) Number

Account Number at Financial Institution

Social Security Number

Complete the W-9 Form (optional - see note below)

A W-9 Form will need to be completed for enrollment. Download the W-9 Form and attach it above. If you prefer to email your W-9 Form, please send it to marketing@indianafurniture.com.

I accept the Travel Terms + Conditions and SPIFF Terms + Conditions outlined by Indiana Furniture and have received approval from my Dealership Management to participate in the Travel and/or SPIFF programs.

Yes, I Accept

Contact Information