Simply fill out the form below.
Once we approve and verify you as a retailer,
we will contact you to set up your new account.
Please allow us 24 - 48 hour to process and
contact you.
*owner/buyer's name:
*store name:
*store address:
*city:
*state:
*zip:
*tel:
fax:
*email:
website:
*resale permit#:
*name two other lines you carry:
*please tell us which line(s)
you're interested in carrying::
If you know someone that would be a perfect
fit for mimi's collection,
