Wholesale registration form

Customer Information

Company:*
Title:*
First Name:*
Last name:*

Contact Information

Telephone:*
E-mail:*

Billing address

First Name:*
Last Name:*
Address:*
Address (line2):
City:*
State:
Country:*
ZIP / Postal Code:*

Ship to a different address

Store information

Are you already an Artěl reseller?*
Legal name:
Resale number:
Tax ID number:
Number of stores:*
Number of years in business:*
Website address:
Where did you hear about us?
What Tradeshows / Markets do you attend?
New York International Gift Fair
New York Tabletop Show
Maison & Objet, Paris
Ambiente, Frankfurt
Monaco Yacht Show
Other 
Primary type of business:
Tabletop
Home Accesories Store
Gift Store
Interior Design
Art Gallery / Craft Gallery
Other 

Please list the top three brands you currently sell:

Brand 1:
Brand 2:
Brand 3:

Login Information

Username:*
Password:*
Confirm Password:*
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