Wholesale Price List and Shopping Area Request Form

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California, USA
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Mandarava New Age Jewelry, Clothing, Statues and Gifts
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Mandarava Wholesale
Wholesale Price List and Wholesale Shopping Area Login Request

P.O. Box 172, Lomita, CA 90717
www.mandarava.com/wholesale

Retailers: Please supply one of the following in the License field: Business License, Federal Taxpayer ID OR Federal EIN OR State Resale License. We ask for this information so that only legitimate Retailers have access to our wholesale information. Thanks for your cooperation. As soon as you have entered your information and pressed "Submit", you will immediately enter the Wholesale Shopping Area, where you may add wholesale items to your cart and shop Wholesale On-Line.
The Wholesale price list will be emailed to the email address you supply in the email field, as well as a user id (usually your email address) and a password that will allow you to re-enter the Wholesale Shopping Area whenever you wish.

First Name*	Last Name*

Company Name*	*Email: PLEASE TYPE CAREFULLY!**

Resale or Business Lic. Number*

Street Address	Additional Address Line (if req'd)

Apt. Num:	P.O. Box:

City:	State: Zip:

Country

Daytime Phone	Evening Phone

Comments

* = required fields

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Consumer Product Notice
With the exception of specifically-designated items (such as children's t-shirts), Mandarava products are not intended for children or persons incapable of handling items in a safe manner.
Please see our Product Safety page for more information on handling Mandarava products safely.

Copyright Š1999-2008 MandaravaŽ Page Last Updated 05/08/08
MandaravaŽ is a registered trademark.
Lotus Sky™ - Celtic Road™ - Amber Swan™ - Egyptian Spell™ - Fairy Glade™
Goddess of My Heart™ and Scarlet Swan™ are trademarked jewelry lines by Mandarava