omelle / luxury footwear | retailer's signup

RETAILERS ONLY

If you are interested in selling Omelle, please complete the following application.

If you have more than one store, please fill out the application for each unique location.

STORE CONTACT INFORMATION

FIRST NAME

LAST NAME

COMPANY

JOB TITLE

STORE LOCATION

STORE NAME

STREET ADDRESS

APT # / SUITE

CITY

STATE

ZIP CODE

PHONE #

FAX #

# OF LOCATIONS

PRODUCT INFORMATION

PLEASE ENTER THE LABELS AND BRANDS YOUR STORE SELLS HERE. BE AS SPECIFIC AS POSSIBLE.

UPLOAD IMAGES

Uploaded images must be in a JPG or GIF format. Images may not exceed 1MB.

NOTE: Please try to best represent your retail outfit but uploading interior & exterior photos. In order for consideration you must provide Omelle with an honest representation of your retail location.

ACCOUNT INFORMATION

CREATE USER NAME

CREATE PASSWORD

CONFIRM PASSWORD

EMAIL ADDRESS

WEBSITE ADDRESS

Send me Omelle Footnotes. (news and updates)

Include me in your mailings.

NOTE: All fields are required for consideration.