Wholesale Registration - GEORGE & EDI

NEW STOCKIST REQUEST FORM

If you are interested in becoming a GEORGE & EDI stockist, please complete the below form and we will get back to you as soon as we can.

Thank you for thinking of GEORGE & EDI

First Name *

Last Name *

Email *

Phone *

Password *

Confirm password

Company Name *

Type of Business (EG: Gift Store, Fashion Boutique, Beauty Salon) (optional)

Country *

Address 1 *

City *

State *

Postcode *

Products you currently stock/sell (optional)

Website/Facebook/Instagram Address (optional)

Other Information that may be relevant (optional)

By clicking register, you agree to the Terms & Conditions