Camilla d'Errico Wholesale

Wholesale Account Registration

Personal Information

First Name

Last Name

Email

Company Information

Company Name

Business Type

Tax ID / EIN

Years in Business

What channels are you going to sell on

Facebook

Instagram

Etsy

Your own eCommerce website

Business Address

Country

Address Line 1

Address Line 2 (Optional)

City

State/Province

Postal Code

Shipping Address

Same as Business Address

Shipping Country

Shipping Address Line 1

Shipping Address Line 2 (Optional)

Shipping City

Shipping State/Province

Shipping Postal Code

Business Contact Information

Business Phone

Business Website (Optional)

Additional Information (Optional)