Become a Retailer

In order to ensure the fastest response, please make sure you have completely and correctly filled out the application below. Missing or incorrect info will require us to contact you for corrections, causing a delay in the approval process.

Even if you are an online only business, we will still need an address for shipping purposes. Your home address will work just fine; however, we cannot ship to a PO Box.

Once you have completed this form, please allow up to 72 hours for your application to be reviewed. You can then expect an email or phone call from your sales rep or a member of our customer service team to let you know your application's final status.

For further help filling the form, please call 1-866-924-3338

You may send written inquiries to:
Corkys Footwear, Inc
10500 Maybelline Road, Suite A
North Little Rock, AR 72117
1-866-924-3338
customerservice@corkysfootwear.com

First Name:

Last Name:

Position: - Select - Owner Manager Buyer

Boutique Name:

Boutique Address:

City:

State: - Select - AlabamaAlaskaAlbertaArizonaArkansasBritish ColumbiaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineManitobaMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew BrunswickNew HampshireNew JerseyNew MexicoNew YorkNewfoundland and LabradorNorth CarolinaNorth DakotaNorthwest TerritoriesNova ScotiaNunavutOhioOklahomaOntarioOregonPennsylvaniaPrince Edward IslandPuerto RicoQuebecRhode IslandSaskatchewanSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingYukon

Zip Code:

Boutique's Phone Number:

Your Mobile Number:

Your Email:

Boutique's Website:

Store Front: - Select - Physical Location Website Only Both Amazon

How long have you been in business?

Are you a member of our VIP Facebook Page?

YesNo

How did you hear of Corkys Footwear?

Other Business/Word of Mouth Show/Market/Salesperson Dallas Showroom Atlanta Showroom Facebook Group/Page Instagram TikTok Other Social Media Internet Search Other Recommendation/Word of Mouth

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