Proudly redefining the perception of fragrance since 2003.

Simone's Country Candles

Wholesale Registration Page


The purpose of this form is to provide valid businesses with the chance to purchase quality materials to use in their craft of choice or to resell.  In order to be able to place an order with us, we must have this information on file.  Otherwise, any unregistered users who do place an order will have to provide us this information before your order can be processed.

Please provide the following contact information:

Name

Title

Organization

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country

Work Phone

Home Phone

FAX

E-mail

URL

Tax Id/Reseller #

Please provide the following shipping information:

 

 

Shipping Address

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country

 

 

Billing Address

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country

Please select a username and password (this will be used to access certain areas of our site)

Username

Password

 

Please indicate what types products you are interested in:


 


 

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Copyright 2003-2008.  Simone's Country Candles, LLC.  All rights reserved.