Mimisworld
MimisworldUSA Store Application
Please provide the information below to apply for status as one of the select stores offering MimisworldUSA products.
An asterisk
*
indicates a required field.
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Date (MM/DD/YYYY):
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Store Name:
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Business Name:
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Business Tax ID#
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Years in business:
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Store Owner\'s Last Name:
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Store Owner\'s First Name:
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Store Phone:
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Email Address:
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Store Address 1
Store Address 2
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City:
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State:
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Zip Code:
Examples of current handbag lines and products carried:
Three Key Suppliers:
How did you hear about MimisworldUSA?
