New Retailer Info Store Name: * Your Name: * First Name Last Name Title * Associate Buyer | Manager Owner Phone * (###) ### #### Email * Brands * Select any brand you would like to carry Bila 77 Cream Yoga DU/ER Hershel I Sea Sunglasses La Biz LTJ Denim Miss Me MUS & BONBOM Roark Stanley Brand | 'Stanley Cup' The Laundry Room Volcom Store Address: * Address 1 Address 2 City State/Province Zip/Postal Code Country How do you intend to pay? * Credit Card Net 30 Billing Zip Website * You will need written consent for any e-commerce http:// Instagram * Federal EIN * State Resale Tax ID * Thank you! We will try to get back to you within 1-2 business days, it might be longer if we are traveling. Feel free to email us to check on the status of your application. -The Jinxroom Teamhi@jinxroom.comtext or call(312) 646-0088
