If you are unable to fill out the form below, download the PDF, print, complete, sign, scan, and send to firstname.lastname@example.org.
- To register, please fill out this form on behalf of the company you represent only if you are purchasing CertiPUR-US® certified foam or products containing certified foam. A company must be registered to be granted permission to use the CertiPUR-US® program’s trademarked name/logo/mark.
- There is no cost to register, but in addition to this Form B, your supplier of CertiPUR-US® certified foam, or products containing certified foam, must submit CertiPUR-US® Program Supplier Verification Form A available at certipur.us/FormA.
- Beginning in 2022, all registered companies must update their directory listings annually using Directory Listing Update Form C. Companies registering for the first time in 2022 do not have to update their listings until 2023.