Become a Dealer

Thank you for your interest in becoming an OLIVIA RIEGEL retailer!

Fill out the form below (you must attach a scan of your state issued Tax Certificate), or print this PDF form and fax the information with your Tax Certificate to (817) 861-1115. We will check for conflicting accounts in your area and email a catalog.

Acceptable formats for Tax Certificate are: PDF, JPG, TIFF & PNG.
Maximum filesize is 6 megabytes.

 

Your name *
Your title *
Company Name *
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E-Mail *
Phone *
Fax
Address *
Website
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