Resale Account Request Form

Contact Information:

Contact Name:
Business Name:	(optional)
Business Type:
Address:	p.o. box 69
City:
State:
Postal Code:
Country:
Phone Number:
Email:

Please send me email announcements when new products and Mrs. Grossman's stickers are available from Gentle Creations. (We will not use your email address for any purpose without your express permission.)

I affirm that the products I purchase from Gentle Creations are intended for resale or to be used in a resale environment.