WHOLESALE Earrings form

Wholesale Account Application

Please fill out the form below to apply for a wholesale account. Required fields are marked *.

Company Name * DBA / Brand Name Business Type * Tax / EIN / Resale ID * Company Website

First Name * Last Name * Email * Phone *

Street Address City State / Province ZIP / Postal Code

Products of Interest Average Order Amount Preferred Payment Terms Additional Notes

I confirm that all information is accurate and agree to the Terms & Conditions *