VENDOR APPLICATION FORM

Current Vendor -
please fill in the information requested below and submit it. A user login and password will be emailed to you.

New Vendor -
please fill in the information requested below, and mail or fax a copy of your state resale license to:

Matisse Footwear
Attn: Sarah Whalen
110 Maryland St.
El Segundo, CA 90245
Fax: (310) 640-1800

MATISSE VENDOR APPLICATION

Current Vendor New Vendor

First Name:


Last Name:


Company Name:


Street Address:


City:


State:


Zip:


Daytime Phone:


Email: