Dear Prospective Reseller,
Welcome to the beautiful home of The Bella Cottage®. If you would like to join our list of premium resellers, please complete our wholesale application below then fax us a copy of your resellers permit to 818-830-9008. You will receive an email confirmation when we receive your application. Once we review and approve your application, someone from our Sales Department will email or call you with information regarding our wholesale program.
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Personal Information

* First Name

* Last Name

* Title

* Company
 
Billing Information
Please enter your billing address below.




* First Name

* Last Name

* Street Address

Optional (apt #, floor, building, company, etc.)

* Country

* State/Province

* Zip/Postal Code

* City

* Phone Number

* Email
Shipping Information
Please enter your shipping address below.
Copy Shipping Information from Billing Info.

First Name

Last Name

Street Address

Optional (apt #, floor, building, company, etc.)

Country

State/Province

Zip/Postal Code

City

Phone Number

Email
 Check here if you wish to join our Preferred E-mail Registry for exclusive offers and product previews.
 
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Business Information:
 


Type of Sales
 

Please describe business:
 

Fax:
 

Website:(Optional)
 

*Resale #:
 

How did you hear about us?
 

How many years have you been in business?
 

How large is your store?
 

16700 Schoenborn St., North Hills, CA. 91343 |Telephone: 818-830-9700 |Fax:818-830-9008|info@thebellacottage.com