Wholesale Buyer Registration Information                                                         
Thank you for visiting our website.
You must have a valid resale number for access.
(Fax your resale license for faster processing: fax 619-741-2892).
Please fill in all the requested information to ensure prompt processing and access.
A user ID and Password will be sent to you upon verification of information.
You may send us the information in one of three ways:
 
1. Fill out the form and click the SUBMIT button to send it online.
2. Fax the necessary information to: (619) 741-2892
3. Or provide the necessary information by email

YOUR ID AND PASSWORD WILL BE EMAILED TO YOU
AFTER YOUR INFORMATION HAS BEEN PROCESSED.
 
All items marked with (*) are required before access will be permitted.
 
 
*Business Name (DBA):  
*Your Name:  
*Your Position:  
*Street Address:  
*City: 
*State:  
*Zip Code:  
Country:  
* Your Phone Number:  
   * Store Phone Number:  
Fax Number:  
*Email Address:  
*Tax ID Number (resale no.)  
*Type of Business:  
  (import, wholesale, retail, boutique, specialty chain (no. of stores), department store, internet, etc.)
*Your product line:  
  (handbags, shoes, apparel, jewelry, etc.)
   
  List three (3) vendors you currently do business with:
   
*Company Name:  
*Contact Name:  
   
*Company Name:  
*Contact Name:  
   
*Company Name:  
*Contact Name:  
   
*How did you discover Jazzd?