Kay's Wholesale Form

Thank you for being interested in carrying Kay's products in your store. Please fill out and submit the form below, and we will get in touch with you asap!

Your Name:
Your Store Name:
Store Address:
City:
State/Province:
Country:
Phone Number:
E-mail Address:
Confirm E-Mail Address:
Please select which product(s) you would like to sell:
*Art & Soul - Collection One: Transformation Quantity:
I Survived DVD Quantity:
How did you hear about me?
If Sales Representative, please specify who:
Comments:

So we know that you are a human and not a spam application,
please copy the green number sequence into the blank field.
Security Code

*Every Art & Soul order will include an open set of cards
and three pieces of tasteful acrylic display items.