Name of store:

Tax ID number:

Physical address:

City:

State:

Zip:

Buyer name:

Buyer phone number:

Buyer email:

Website:

Years in business:

1. Please list at least five lines you currently carry in your retail location:

2. What is your retail price point range for jewelry?

3. Do you have a store website? If not, can you provide press or photos of your physical retail location?

4. Is your store online? If so, will you be selling Presh online?