Business Request Form

Myka Designs offers a fabulous assortment of contemporary costume
jewellery to unique shops, boutiques and other fine retailers all over
the world. For wholesale inquiries please submit the following form:

Your Business Interest:  *

Retailer

Agent

Distributor

Press/Editor/Stylist

Requesting access to our wholesale catalogue for the purpose of ordering?

Yes

No

Name:  *

Business Name:  *

Address 1:  *

Address 2: (optional)

City:  *

Prov/State:  *

Postal/Zip:  *

Country:  *

Phone:  *

Fax:  *

Email:  *

Website address:

Tell us more about your business interest:  *