Registration Form

Please fill out the following form to register with Best Silver Jewlery only if you are a reseller. We will review your application and contact you.
* Required Fields
*E-mail Id:
*Password :
*Confirm Password :
*First Name :
*Last Name :
* Address1 :
Address2 :
*City :
*Country :
*State :
If others please specify :
*Zip :
*Phone :
*Company Name :
Tax ID Number :
Web Site Address :
*Word Verification :	Type the characters you see in the picture below.

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