WHOLESALE REGISTRATION FORM

Please fill in this form to apply for access to our wholesale gem pricing. The more information you provide, the easier it will be to approve your request.

In addition to giving you access to wholesale pricing on our website, we will send you our show invitations in  the mail and will add you to our news email list!

Press the REGISTER button at the bottom of the page when you are finished filling out the form.

*Items with a red star are required fields that must be filled out to confirm your wholesale status.

1 Personal Information
2 Business Information
3 Mountings/Findings Suppliers
4 References
5 Other Information
  • Personal Information

  • This email address will be used to access wholesaler benefits. Please use a permanent email address. If this email address changes, you will need to contact us at info@brendasmithjewelry.com.