Please fill out the form, if you are interested to carry our Pet Lover Lifestyle products in your boutique; or would like to work on collaboration.
We will be in contact shortly. Thank you.

Company Name

Contact Name

First Name

Last Name

Job Title

Owner / Partner

Buyer

Store Manager

Store Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number

Country

(###)

###

####

Fax Number

Country

(###)

###

####

Website

http://

State Resale Certificate Number

Federal TAX ID Number (EIN)

Business Category

Boutique

Online Retail

Years in Business

How did you hear about Mochi & Jolie?

Which product line(s) you are interested in to carry at your store?

List brands and products your store currently carries

Comments and Questions