WHOLESALE REGISTRATION INFORMATION
We require ALL of the information requested below (except as noted).
Missing and/or misleading information will immediately invalidate
requests for access to the wholesale website.

This information is for Wild Things Beads ONLY. We are serious about protecting our customers.
We will not sell nor share any of the information entered on this form with any other companies.

This site is for wholesale purchasing only (wholesale to the trade).
We will contact you once we have a chance to review your application.

BUSINESS NAME:
OWNERS NAME:
ADDRESS:
CITY:
STATE:  
ZIP:  
COUNTRY:
TELEPHONE:
CELL PHONE: (Optional)
FAX NUMBER: (Optional)
RESALE or LICENSE NUMBER
For International Businesses, Type in your Country Name
E-MAIL ADDRESS

TYPE OF BUSINESS:
(Choose One)

  Bead Store
Designer
Store Front
Online Web Store
Other Please describe
 

OPTIONAL:

  Would you like a trunk show?

       

home || about us || show dates || register your business || enter for wholesale

WILD THINGS BEADS  ~  P.O. Box 1990  ~  Penn Valley, CA 95946  ~  Tel: (530) 743-1339
beads@wildthingsbeads.com