Wholesale Italian Charms - Charmed Gallery Fax Form

CharmedGallery.com Wholesale Italian Charms Application (Print then close window when done.)

Please print and fill out this form to start a wholesale charms account. When completed, please fax it back to Charmed Gallery.com at (401) 398-0973. PLEASE BE SURE TO INCLUDE A COPY OF YOUR BUSINESS LICENSE. If you have any questions, please call us at (401) 398-0972 or email admin@charmedgallery.com.

Once your application has been reviewed and accepted, you will be issued your own Italian charms "USERNAME" and "PASSWORD", which will allow you to log into Charmed Gallery.com and place wholesale orders.
Return to Wholesale Italian Charms Homepage

Date:_______________ Phone Number:__________________________

Company Name:________________________________________________________________

First Name:____________________

Last Name:_______________________________

Street Address:_________________________________ City:_____________________

State:_____

Zip:________

FAX:___________________ Email:_____________________

Business License Number:______________________________________________________

Type of Store: ___Gift Shop ___Jewelry ___Other(Describe)______________________________

Number of Years in Business:____

SHIPPING ADDRESS IF DIFFERENT FROM ABOVE.

First Name:____________________

Last Name:______________________________

Street Address:__________________________________________________________

City:_________________________

State:_______

Zip:___________

Faxback with a copy of your business license to (401) 398-0973