* 1. Please provide your contact information: Name Company Address City State -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP Email Address Phone Number * 2. Please classify your business: Independent Regional National * 3. Please classify store type: Craft Department Farm & Home Floral Furniture Garden Center / Nursery Gift / Party Hardware / Home Improvement Interior Design Internet Only Seasonal Specialty Variety Other * 4. Please provide your business Tax ID (without dash/hyphen): * 5. Tell us which Gerson Companies product line catalogs you are interested in receiving: Gerson International Spring/Summer Collection Gerson International Fall Collection Gerson International Christmas Collection Sterling Tree Collection Everlasting Glow® Candles & Lanterns Everlasting Glow® Home Everlasting Glow® Light Strings Lone Elm Studios™ The GG Collection® Options Jewelry Universal SunRay® GIL Overstock / AOI List Submit
