Wholesale Registration - Global Mamas

Store Details
Store Name*
Tax ID Number*
Website
My Store is
- Bricks and Mortar
- Online
- Festivals/Seasonal Events
Primary Billing Contact / Billing Address
- Billing Address
- First Name*
- Last Name*
- Title
- Address*
- Town / City*
- State / Province*
- Country*
- Post Code*
- Email Address*
- Phone Number*
Primary Purchasing Contact / Shipping Address
- Ship to a different address?
- Shipping Address
- First Name*
- Last Name*
- Title
- Address*
- Town / City*
- State / Province*
- Country*
- Post Code*
Email Address*
Phone Number*
Store Address for Global Mamas Shop Page
My Store Address is
- The Same as Billing Address
- The Same as Shipping Address
- A Different Address
Country*
Street Address*
Street Address 2
City*
State / Province*
Post Code*
Phone Number
Retail Partners Directory
- I understand that if my purchases with Global Mamas are greater than $1000 every six months the information I have listed above will appear to the public on the Global Mamas Retail Partners page.
About My Company
Describe your company*
How did you hear about Global Mamas?
Account Details
Username*
E-mail*
Password*
Repeat Password*

Store Details