Wholesale -> Retailer Registration

Retailer Registration

Access to the Retailers section is restricted to legitimate registered retail businesses. To request access please complete and submit the following form. Verification of the information is usually completed within 48 hours and you will be notified via e-mail when you are able to access the Retailers section.

NOTE: To be eligible for wholesale pricing you must provide a valid Tax ID Number for your business.

INTERNATIONAL REGISTRANTS:
Please select "Not Applicable" for the "Company State" and "State of Issue" fields. If your country does not require you to have a Tax ID number, please enter "Not Required" in the "Sales Tax ID Number" field.

ATTENTION: Nigeria and USA embargoed countries - DO NOT APPLY!

- If you have questions or require assistance, our Live Support representatives will be happy to assist you in any way they can.

* - indicates a required field

Retailer Registration

E-Mail Address	*
First Name	*
Middle Initial
Last Name	*
Company Name	*
Company Address 1	*
Company Address 2
Company City	*
Company State	*
Company Province/Region
Company Country	*
Company Postal Code	*
Company Address Type	*
Phone Number	*
Fax Number
Website Address
Sales Tax ID Number	*
State Of Issue	*
Nature Of Business
Years In Business
Number Of Locations
Comments

Notice: Your privacy is important to us. In accordance with our Privacy Policy, the information collected on this form is for internal use by Je T'aime Fragrances only and will not be sold or distributed to anyone.

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Last Updated: June 11, 2007