Become a Wholesaler

Please keep in mind in order to register as a Wholesale customer, you must include your store name and Tax ID # for verification.

*Denotes a required field
Create a Username:	*
Password:	*
	Password Requirements: Must be at least 7 characters Must contain a number
Password (confirm):	*
E-Mail Address:	*


First Name:	*
Last Name:	*
Address 1:	*
Address 2:
City:	*
State/Province:	*
Country:
Zip:	*
Work Phone:	* ext.
Fax:

The Rose Lady P.O Box 251, Los Alamitos, CA 90720. Copyright @ .
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