Please complete the following form to create a wholesale account.  Once the form is
submitted and approved, you can place an order.  Approval is based upon the verification of
your business.  You will receive an e-mail once your account has been approved.  

In addition to the following form, you must email a copy of your sales tax license or business
license to julie@simplyjules.com.
Your Name *
E-mail Address: *
Company Name *
Company Website
Company Address *
Phone Number *
Sales Tax Number *
Questions/ Comments *
* RequiredContact Forms For Your Site