DonnaVinci.com

Donna Vinci

Donna Vinci Couture

DVC Exclusive

Lisa Rene

Wholesale Application

NOTE: If you already have an account with us, please login at the login page.

Your Personal Details

* Required information

Please note: Your application will ONLY be processed AFTER we have received 1- A copy of your retail store re-sale license, 2-Copy of your store's business card, and 3- Copy of a business Voided Check. Please fax these document to: 213-746-3043, or e-mail them to info@donnavinci.com.

Once we recieve the required information, we will issue your password, and send you our catalogs. Thank you.

First Name:	*
Last Name:	*
E-Mail Address:	*
Confirm E-Mail:	*

Company Details

Company Name:

Your Address

Street Address:	*
City:	*
State/Province:	*
Post Code:	*
Country:	*

Your Contact Information

Telephone Number:	*
Fax Number:

Additional Information

Do you own a retail clothing store?:	Yes No
Do you purchase your DonnaVinci products directly from us?:	Yes No
Retail Store Name:
Dun & Bradstreet Number:
Web Site URL:
Promotion code:
Comments:
How did you hear about our company?:

Your Password.
Note: Passwords are case sensitive

Password:	*
Password Confirmation:	*

Retail license:
Please send a copy of your stores Resale License, your Business Card and copy of a voided check to info@donnavinci.com, or fax a copy to (213)746-3043 upon submitting this form. Thank you.