Wholesale Application

Wholesale Terms of Service:

Minimum Purchase Order Amount:

Wholesale Turnaround & Shipping:

Contact Name *
Contact Name
Contact Phone # *
Contact Phone #
http://
Will our products be listed on your store's website?
http://www.facebook.com/YOUR-NAME-HERE
@YOUR-NAME-HERE
http://www.twitter.com/YOUR-NAME-HERE
Store Address *
Store Address
The physical location of your brick & mortar storefront
Store Phone # *
Store Phone #
Shipping Address *
Shipping Address
Where your wholesale order will be shipped/delivered to.
Submission *
By clicking the checkbox below, I agree to follow and abide by the Wholesale Terms of Service Agreement and to have my storefront information listed on the Argent Whimsy Jewellery website under "Stockists".