Request Info - Treasures of Bali | Sarongs, Dresses, Sundresses, Cover-ups, Scarves

If you are interested in carrying our merchandise in your retail store, please fill out the form below, and we will contact you.

* Indicates required field

Store Name *

Tax ID *

Store Address *

Line 1

Line 2

City

State

Zip Code

Country

Store Phone *

Store Fax *

Store Website *

Buyers Name *

First

Last

Buyers Phone *

Buyers Email *

Date Store Opened MM/YYYY *

Comment *

Submit