RESELLER FORM

If you are interested in offering our ethnic art  merchandise through your retail store or other outlet, please complete the pre-qualification form below and one of our representatives will contact you shortly. 
 
Your Name:
Organization:
Address:
City, State, Zip:
Phone:
Email Address:
Fed Tax ID#

How did you hear about us?

Search Engine 
Radio 
Referral 
Other 

Type Of Business

Book Store Gift Shop BoutiqueNon Profit Org.
Other 

Number of Stores:

Store Location(s): Other Other

Interested in which Styles 
(click all that apply, hold "Ctrl" key while clicking)

Anticipated Required Stock Date: Alternate

Any other information that will help us help you.