Contact us

Thank you for your interest in our Retailer Program. Please complete and submit the below information to be considered. Once your application has been received, we will review and send you an approved or non-approved response within 72 hours. If you have not received a response within 72 hours - please email us at

Thanks for your interest and for dreaming in gold with us!

Business Name *
Phone *
State Sales Tax No. *
Type of Business *    Online    Brick and Mortar   Wholesaler
Tax Exempt State *
Website Address *
In Business Since *
Retail Address - Street Address, City, State and Zip Code
Business Contact Name *
Business Contact Number *
Business Contact Email Address
Electronic Signature *
I understand that this box constitutes a legal signature confirming that the above information is accurate and valid.

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