Wholesale

Company Contact

Company Name

Address Line 1

Address Line 2

City

Zip Code

State

Country

Phone

Fax

Website

Business Type

Are you an online only business?

Facebook URL

Instagram URL

Buyer Contact

First Name

Last Name

Title

Email Address

Additional Contact 1

Additional Contact 2

Store Location(s)

Same as Company Contact
Add a New Address
Online Only

Address 1

Address 2

City

Zip Code

State

Country

Phone

Fax

Website

+ More Stores

Tell Us About You

How long have you been in business

1 year, 2 years, etc.

What is your best selling jewelry category?

Select all that apply

What is your average price point?

Select one

What brands do you carry?

Brand 1

Brand 2

Brand 3

What stores in your area create a distribution conflict?

Store 1

Store 2

What trade shows do you attend?

Select all that apply

How did you hear about gorjana?

Select one

Can you support the $1000 minimum opening order?

Select one