New Retailer Application Form:

If you would like to carry Pyrrha jewelry, we’d like to get to know you. Please fill out the forms on this page, and we will contact you shortly. Under no circumstances do we share existing, or potential client information. Thank you for your interest.

* indicates a required field

Contact Information:

Contact Name^*
Phone # (please include area code)^*
E-mail Address (important: you will use this to log in)^*

Store Contact/Shipping Information:

Store Name^*

Store Address

Street Line 1^*
Street Line 2: City^*

Prov/State^*

Zip/Postal^*
Country^*

Store Phone #^*

Store Fax #

Store Website^*

Store Information:

Store trade name^*

Number of years in business^*

Best selling jewelry price point^*

What percentage of your business is jewelry?^*

Name of the neighbourhood in which your store is located?

Please list 3 brands or jewelry designers you currently carry in stock:

Brand 1^*
Brand 2^*
Brand 3^*

Primary type of business:

Fashion Clothing StoreFashion Accessories/JewelryGift StoreArt Gallery/Craft Gallery

Where/How did you hear about us?

Questions?

If you have specific questions or concerns regarding your application, please don’t hesitate to send an e-mail to:

info@pyrrha.com