WHOLESALE REGISTRATION FORM

To become a stockist please complete the wholesale registration form below. Please email us at [email protected] if you have any questions.

Company Name *

Trading Name *

Phone (optional)

ABN *

Website URL *

Country *

Address 1 *

Address Line 2 (optional)

City *

State *

Postcode *

Type of Store *

Do you have multiple store locations. If yes, where are they located? (optional)

Other brands you stock? *

Facebook URL (optional)

Instagram URL (optional)

First Name *

Last Name *

Email *

Comments (optional)

Username *

Password *

Confirm password

By clicking register, you agree to the Terms & Conditions