Pottery Mfg Wholesale Trade Registration Form

310-323-7754
18881 So Hoover Street
Gardena, California 90248

For Wholesale Trade Only: to receive our price lists, please submit the following form:
 
First Name*:
Last Name*:
Name of Business*:
Type of Business*:
Business Street Address*:
City*:
State*:
Zip*:
Phone*:
Email*:
Seller's Permit Number*:
How did you hear about us?*:
Comments:
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