New Wholesale Customer Registration

Thank you for your interest in becoming a retail partner of Global Mamas. After you complete the wholesale registration, you will be contacted via email within two business days to let you know if your account has been activated. Global Mamas works hard not to over-saturate our products in a single market. If your store is located in the same area as a current customer we may not be able to activate your account.

Required fields in bold.

Store Details

Store Name:
 
Tax ID Number:
 
Website Address:
My Store Is:


Primary Purchasing Contact / Shipping Address

First Name:
 
Last Name:
 
Email:
Title:
Street Address:
 
Street Address 2:
City:
 
Country:
State/Province:
Post Code:
 
Telephone Number:
 
Fax Number:

Primary Billing Contact / Billing Address



First Name:
 
Last Name:
 
Email:
Title:
Street Address:
 
Street Address 2:
City:
 
Country:
State/Province:
Post Code:
 
Telephone Number:
 

Store Address for Global Mamas Shop Page

  


Telephone Number:
 
Street Address:
 
Street Address 2:
City:
 
Country:
State/Province:
Post Code:
 
  I understand that if my purchases with Global Mamas are greater than $1000 every six months the information I have listed above will appear to the public on the Global Mamas Retail Partners Page.

About My Company

Describe your company:
 
How did you hear about Global Mamas:
 Do you wish to receive periodic email updates about Global Mamas, our producers, new products, and sales?

Password

Password:
 
Password Confirmation:
 
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