Wholesale Orders

Existing Wholesale Accounts
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New Wholesale Accounts

To apply for a wholesale account, click the "Sign Up" button. All applications are subject to appoval prior to accepting orders.*

Mastercard/Visa Orders:

While development of our site continues, please contact the office directly to place orders.*

*California based businesses must provide a signed and completed Resale Certificate prior to initial order. Please call 949.298.4457, or email info@lisellevintage.com, to obtain the appropriate forms.

Company Information

Business Name *:

DBA:

Website:

Federal Tax ID*:

Resale License No*.:

Resale State*:

Company Representative Authorized to Place Orders*:

Create User Account

Username*:

Password*:

Email*:

Phone*:

Billing Information

Billing Name ("Attention")*:

Address*:

City*:

State*:

Postal/Zip*:

Phone*:

Fax*:

Email*:

* indicates required fields