Wholesale Application
Thank you for your interest in becoming a wholesale dealer for Prima Bead. Complete the information below and you will receive a confirmation email once approved.

The minimum opening order for dealers is $100.00. There are no future minimums once the original order minimum has been met.
Login Information
Email (*)
Email Address is Required
Password (*)
Password is required
Confirm Password (*)
Confirmation password required
Billing Address
First Name (*)
First name is required
Last Name (*)
Last name is required
Company (*)
Company name is required
Address1 (*)
Address1 is required
Address2
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City (*)
City is required
State (*)
State is required
Zip/Postal Code (*)
Zip/Postal Code is required
Province/Region
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Country (*)
Country is required
Phone (*)
Phone number is required
Fax
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Shipping Information
(if different from above)
Name
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Address
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City
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State
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Country
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Proof of Established Business
Tax Exempt Number (*)
Tax Exemption Number is required
If you are a wholesale customer from Florida, you need to either fax, email, or upload a copy of your signed Tax ID. Our fax # is 727-536-3509
Upload Tax ID
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Expire Date
Expiration date is required
I certify that all material, merchandise or goods purchased by the undersigned from Prima Bead will be purchased for the following reasons:
- To be resold as Tangible Personal Property.
- To be incorporated as a material or part of the tangible property to be produced for sale by manufacturing, assembling, processing or refining.
- To be exported for sale, use or consumption outside the continental limits of the United States.
- Other:
This certificate shall be considered a part of each order we shall subsequently give and shall continue in force until revoked.
Agree/Disagree (*)
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 Certain items may contain trace amounts of lead and are not intended for children under 15. Intended for fashion and decorative uses only.

Do not put items into mouth or ingest.