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To register as a wholesaler, simply fill out the form below and then click the 'Submit Register Form' button at the bottom of this page. We will e-mail you with approval and confirm login name and password.

Please complete this form, all fields are required.
Company Name:
Contact Name:
Position:
Address:
Address:
City:
State:
Zip Code:
Country:
Telephone:
Fax:
E-mail Address:
TAX ID#:
(Country: USA, Canada, UK, Australia, Ireland must have TAX ID.)
( If no TAX ID, Please explain nature of business:)
Company Established: New Business
Current Business
Years in Business:
Business Description:
# of Locations:
Located In:
Type of Jewelry products you sell:
Other products, Gifts, etc you sell:
Custom Designs You May be Interested In:
Percent of Jewelry Sold:
  Sterling Silver %
  Gold %
  Platinum %
  Copper %
  Bronze %
  Costume %
Annual Gross Sales:
(Min one box filled in)
Retail:-  USD
Wholesale:-  USD
Where did you find us?:
Surfing... Search
Magazine Advertisement At a Show
Magazine's name?
 Name of a show?
Brochure/Flyer Postcard
Peter Stone Catalog Current Customer
TV Radio
Friend/Associate In Retail Store
Thru E-mail Thru Links  
etc.  
Login Name You Want:
Password You Want:
Re-Enter your Password:
  
If you encounter a problem registering, please send the required information via e-mail to: webmaster@peterstone.com
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