Privacy Information

All information collected on this form is used for the sole purpose of conducting business with your company, and is kept confidential. However, we may disclose information as required by governmental tax authorities. Also, when you order from our web site, we shall disclose your billing information to our merchant processing bank so that we may collect payment, and disclose your shipping information to our shipping carrier so that you may receive your purchased items.

Please fill out the form completely so that we may process your application.

After we have approved your completed application, you will receive an email with your account information and instruction regarding accessing your account and making your first order. We appreciate your business. Thank You!

 
How did you find our web site?
Company Information
Company Name
Company Type Resale License ID
Business License ID Federal Tax ID
Address
Street Address
City State Zip
Country
Have you sold Miami BeachWear products in the past? Yes No
Do you currently sell Miami BeachWear products? Yes No
Please check the box next to each of the following that pertain to your business.
Physical Retail Store Online Retail Sales/Internet
Multiple Locations Yahoo!® Store
Franchisee Franchiser
Sell Outside USA Distributor
Mail Order No Stock/Drop Ship
Please list other swimwear brands that you currently sell
Description Of Your Business
Company Web Site URL
All web site URLs where you will sell Miami BeachWear Products (please list one per line)
Primary Contact Information
First Name Last Name
Email Address Telephone
Title or Position Fax
Login Username
*4 to 16 characters*
Password
*4 to 16 characters*
Terms and Conditions
Agreement
(Check Box)
I agree to the following terms and conditions:

Because MiamiBeachWear.com offers such an open order wholesale program without quantity or order size requirements, WE DO NOT ACCEPT ANY RETURNS OR EXCHANGES ON ANY WHOLESALE ORDERS except as listed below.

Any product(s) received incorrectly or have a manufacturing defect can be EXCHANGED. No credits or refunds will be issued. If an exact replacement is not available, a similar item of equal value will be substituted.

Additional Comments
Comments (Optional)
 
Enter your email to receive special offers: 
Design & Hosting by WG-Studios.com