OLIVIA RIEGEL

Thank you for your interest in becoming an OLIVIA RIEGEL retailer!

Either fill out the form below (you must attach a scan of your state issued Tax Certificate),
or fax the information (listed below) with your Tax Certificate to (817) 861-1115.
We will check for conflicting accounts in your area & email a catalog.

Acceptable formats for Tax Certificate are PDF, JPG TIFF & PNG.
Maximum filesize is 6 megabytes.

Company Name:
Phone:
Fax:
E-Mail:
Tax Certificate: