Kiwami

Kiwami North America

Thank you for your interest in becoming a Kiwami Retailer.

To get started, please fill out this form and soon you'll be adding value to your customers
by providing them with quality and innovative products.

All required fields are indicated with a red * asterisk.
  • REFERRAL INFORMATION

  • Please let us know how you found out about us.
  • PRIMARY CONTACT DETAILS

    Please provide contact details for the person who you want to receive all regular communication from us.
  • Contact Name* First Last
  • Title or Position
  • Email*
  • Phone Number*

    Please include country code.
  • COMPANY DETAILS

    To be a Retailer, you must be a legitimate business or entity conducting business.
  • Company Name (For Invoicing)*
  • DBA (If Applicable)
  • What type of business is this? (Corporation/LLC/Partnership/etc)*
  • Company Website (If Applicable)
  • EIN or VAT (If Applicable)
  • COMPANY ADDRESS INFORMATION

  • Is the shipping/billing address the same?*

    We will ship orders to the "shipping address"

  • Billing Address*
    Street Address Address Line 2
    City State / Province / Region
    Postal / Zip Code Country

  • Will you be using your own shipping account? (FedEx/UPS/DHL)*

    If you select "no", we will add shipping to the invoice for international orders.

  • Are you requesting terms? (We generally won't offer terms until at least 3 PO's have been placed.*
  • OTHER QUESTIONS

    To assist us in understanding your needs as a retailer, please answer the following questions.
  • Do you have a physical retail presence?*
  • Please provide a basic description of your business. (Please include where and how will you be selling our products?)*
  • How long has the business been operating?*
  • How many employees does the business have?*