Wholesale Accounts

We are thrilled that you would like to carry Alasha Lantinga in your store. Please fill out the form below and we will be in touch with you shortly.

Company Name:  *
Web Site:
First Name:  *
Last Name:  *
Email: (This is your user name)  *
Phone:  *
Address:  *
City:  *
Province/State:  *
Country:  *
Postal/Zip Code:  *
Password:  *
Confirm Password:  *
Years in Business:  *
Type of Store:
How did you hear about Alasha Lantinga: