Canadian Importer & Distributor of The Australian Jacaru Hats & Accessories

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To become a registered retailer with The Fashion Lodge, please fill out the form below and a representative will get back to you as soon as possible.

* Note: Registration is for Storefront Retailers only

Legal Trade Name / Registered Company Name
* required
Store Name (if different from above)
* required
Business Type: 
Corporation    Partnership    Sole Proprietorship 
Vendors Permit / IRS Number (US Companies)
Storefront Location:  Storefront Ownership:
Mall Plaza Other Owned Leased Rented
Years in Business: years * required

Full Store Address: * required City: * required
Province/State: * required Postal Code / Zip Code: * required
Country: * required  
 
Company Phone Number: * required Company Fax Number: * required
Web Site Address: Email Address: * required
Contact First Name: * required Contact Last Name: * required
Title / Position:

How did you hear about us?  (Please select all that apply)
Search Engine Email Advert Magazine/Newspaper Ad
Retail Store Trade Show Friend / Business Referral
Internet Ad Public Show Sales Rep / Agency Other

If you selected Trade Show,  Public Show, Sales Rep/Agency, Friend/Business Referral or Other please specify so we can thank them:


Retail Business Classification:  (Please select all that apply)
Footwear Hat Store Department Store
Biker Store Boutique Leather Goods
Accessories Men's Store Women's Store
Sports Store Outerwear Fashion Clothing
Giftware Outerfitter Souvenir/Tourist
Accommodation Marina Outdoor Adventure/Retreat
Other (specify) Specialty Shop TouristBoard/Travel/Tour Co.
If other, specify:

How many locations do you have:
Do you carry any other Hat Brands? Yes   No 
If yes, which Brand?
Do you have any previous experience / success selling Hats?
Yes   No  - We offer Free Training at your request!
Do you carry any other Australian Products? If so which Brands:
Would you like to subscribe to our Bimonthly Newsletter and receive information about our latest promotions?  Yes   No

Comments / Questions :


Thank you for your interest in Jacaru,

Please note: To process your order, we require a Visa or MasterCard number which will be charged the day your order is shipped out. We do not  Invoice or Extend Credit, nor do we accept Cheques or American Express.

Submitting your Request to become a New Account confirms that you have read and understood our Terms of Sale and Policies.

Naturally, we want to protect our Wholesale Retailers from allowing ‘just anyone’ to have access to our prices, therefore we trust that all Wholesale Information and Trade Secrets will be kept confidential. Please, continue shopping and thank you for your interest in becoming a Jacaru Retailer


* Note: Registration is for Storefront Retailers only


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