Customer Registration

You are just a few steps away from becoming an Event Blossom dealer. Once you have submitted your application, we will begin the approval process. Please allow 72 hours for processing your request. We humbly thank you for your interest.

Contact Information:
Company Name
Contact Name
Phone Number
 Fax Number
Email Address
Website URL

Billing Address:
Address
City
State
 Other/Province
Zipcode
 Country

Shipping Address: (Leave blank if same)
Address
City
State
 Other/Province
Zipcode
 Country

Other Information:
Reseller Tax ID (Required - Fax a copy to 714-617-9689)
Notes
Type of Company
Online Reseller   Store Front   Both