Wholesale Dealer Application

If you are interested in a Garnett Jewelry wholesale account, please submit the following information. After you have completed the form, you will be notified by e-mail with instructions for setting up your account.

Company Information

Company Name:
Store Owner/Manager:
Email Address:
Billing Address:
City:
State:    Zip:
Shipping Address:
City:
State:    Zip:
Phone Number:
Fax Number:
Resale Number:
Type of Business:
Year Established:
Your Website Address:
Questions or Comments:

enter the numbers in the box to the left (required)