. . .
austin design
 
WHOLESALE BUYERS
Password & Wholesale Catalog Request
 
If you are a wholesale buyer and wish to view our jewelry online or wish to receive our full color catalog, we do require that you verify your wholesale status.  This is necessary before passwords are issued, wholesale catalogs are released, or any orders are processed.  If you prefer, you may print this form and then fax or mail the information.


Business/Store Name: Work Phone:
   * *   
   
Contact/Buyer's Name: Fax: 
   *
   
Tax ID or Retail License #: E-Mail Address:
   * *   
   
Mailing Address: Shipping Address (if different):
   *
   
      * City City   
*State  *Zip State Zip 
          * Country / Area Country/Area        
   
   
Type of Store: Tell us a little about your store, clientele,
and merchandise; mention any details
which will help us serve you better:
 
If "other", please specify:
 
Are you part of a larger attraction?
 
If "other", please specify:
   
   
       

 

Our Response
Upon verification (usually 1 or 2 business days) we will email you a password
and mail you a full color catalog and price list.

Confidentiality
We do not sell, trade, or share our mailing lists or client information. Any information submitted is kept in strict confidence.
If at any time you would like to be removed from our files, simply contact us. Filling out this information
carries no obligation whatsoever. And we do not practice annoying phone or e-mail solicitation!

Problem?
Having trouble submitting this form? Don't forget that fields marked with * are required.
If you would prefer to have a print version of this form, click here, and fax to 434-832-7090.