Affirmations Wholesale Customer Registration Form

Wholesale Registration Form
This is the form to fill out if you want to start stocking our lovely products. Please note that the minimum opening order is $500, and the minimum refill order is $300.

If you're already a stockist then you don't need to fill out this form - we've already got your details and have set you up automatically with an online account. Give us a call on 1800 222 254 and we'll get you started.
Your Name *

First Name Last Name
Your First Name *
Your Last Name *
Your Email *
Your Mobile *
Your preferred contact method
Your birthday *
Day
*
Month
Your Position *

Sole Trader Partner Franchisee Company Director Trustee Manager Buyer

That's it - this is the last bit!
Is there anything else we should know about?
*

I am an authorised signatory for this business and I agree to Affirmations Publishing terms and conditions
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Wholesale Registration Form