Wholesale Application Page

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FREE SHIPPING! On all domestic orders over $75*

Please fill out the information below. NOTE: All Fields are required, except for Store Fax and Tax Resale License #.

Store Name *

Store Address *

City *

State *

Zip *

Buyer Name(s) *

Buyer Phone *

Buyer Email *

Store Phone *

Store Fax

Store Website *

Store Type *

Years in Business *

Multiple Stores? *

Yes

Tax Resale License #

How did you hear about us? *

Please list the other jewelry brands you currently carry below. *

List stores you consider to be a distribution conflict below. *