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Wholesale Application

Thankyou for showing an interest in becoming a stockist.

Please complete the application below and I will email our product pamphlet to you. Talk soon!

Company Name: *

ABN:*

Business Address:*

Contact Details - First Name*

Last name*

Email*

Phone

Delivery Address: (if different to Business address)

Billing Contact - First Name: (if different to Contact Details Above)

Last Name:

Email

Phone

Number of years business established:

Business Website:

Business Social Media Account Names:

Would you like your business to be tagged on The Creative Farmwife social media accounts when advertising your business as a stockist?:

Yes please

No thanks

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WHOLESALE APPLICATION

We are proud to be a family owned,
Australian business from Regional NSW

Made in Rylstone

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