W O M E N SM E N S
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                  Aquarius Elysium Ultra Apparel is proud to offer wholesale products and drop shipping options for your company to sell.  We strive to keep the upmost service to our clientele so we ask you apply for your wholesale account.  Please email the  fallowing information from below to This e-mail address is being protected from spambots. You need JavaScript enabled to view it .  Once you have properly completed this information please submit for review. 

Our staff will review your information and contact you within 2 business days.

 

Wholesale Account Application Information:

 

Company Name:

Your First Name:

Last Name:

Position:

Company Address:

Contact Number:

Website:

Email:

Fax:

Online or Retail Store, Both:

Years In business:

Gross Annual Income:

Wholesale or Drop Shipping:

Store Description:

Company or Business ID: