New Vendor Registration

Thank you for your interest in becoming a Maui Vera vendor! Please complete in the registration form below and we will be in touch shortly.

If you have any questions, we can be reached any time at [email protected] or (415) 938-7808.

We now also offer wholesale ordering through Faire!

Registration Form

Company Name:
Field is required!
Field is required!
First Name:
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Field is required!
Last Name:
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Field is required!
Email Address:
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Field is required!
Phone Number:
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Field is required!
Website:
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Company Address:
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City:
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State/Province:
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Zipcode:
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Country:
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Additional Details

Please fill in below if different from the above information.
Billing Contact:
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Field is required!
Billing Email:
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Field is required!
Billing Phone:
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Field is required!
Billing Address:
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Field is required!
Shipping Contact:
Field is required!
Field is required!
Shipping Email:
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Shipping Phone:
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Shipping Address:
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Field is required!
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Field is required!
SUBMIT