New Registration Application

Register your interest to become a Heritage Birth Bear retailer today!

The Heritage Birth Bear is designed to be a florist exclusive tool and web orders are processed through our distributor network. Web orders are distributed based on location and volumes ordered.
Complete the following application to access the wholesale price list and product information. Once your application is processed you will be notified by email of your username and password to access our wholesalers section.

Title DR MISS MR MRS MS

First Name

Last Name

Email Address

Phone Number

Buisness Name

A.B.N.

Address

City

State

Postcode

Website

Desired Username

Desired Password

Confirm Desired Password

Enter Word Verification in box below

*Your e-mail address will remain
private and only be used by Jamari Deisgns.