YURANA Design

WHOLESALE Account   -   On-LINE Registration Form

To register in order to place Wholesale orders in our e-Showroom , please fill out information here below.

 Approval subject to the nature and viability of your business to market our products, as well as verification of existing exclusivity agreements that may exists within your area.

 

Company Information

 

 

Company/Store Name   Required
Street Address   Required
Address (cont.)  
City   Required
State/Province     Required
Business Phone  
 The telephone MUST be
registered to the Business!		  (10 Digits-No spaces or dashes) Required
FAX   (10 Digits-No spaces or dashes)
E-mail   Required

 

Resale Tax Certificate Number
or 
Sales and Use Tax Permit:
The Sales Tax Permit is issued by the Board of Equalization or the Office of the Comptroller. 		Required

 

Buyer/Contact Name   Required

Due to the unique nature of our product, we are quite selective with stores featuring our exclusive collections.
Please tell us about your business that could help us to better evaluate your Wholesale Business Application.

Tell us about your Business

(OPTIONAL FIELD)

 

Have you previously purchased from Yurana Design?    Yes             No

 

How old is the store/business you are applying for?

Less than 1 Year    Over 1 Yr. Less than 5 Yrs.    Over 5 Yrs. less than 10 Yrs.    Over 10 Years

 

What kind of Business or Store do you have?
One only option allowed. Please select the the that better describe your business.

Accent Furniture Antiques Floral Dec. Accessories
Collectibles Jewelry Lighting Tabletop
Wall Decor Gift Mail Order Cat. Furniture