WHOLESALE APPLICATION Email Company Name: * First Name: * Position: * Last Name: * ABN: * Email Address: * Phone Number: * Postal Address: * Suburb: * State: * Postcode: * Trading Address: Describe your business: * PHYSICAL STORE ONLY PHYSICAL AND ONLINE STORE ONLINE ONLY STORE OTHER INTERIOR DESIGNER STYLIST/PROP SOURCING If OTHER, please describe your business: Website URL: * Facebook URL: Instagram Username: TRADE REFERENCES: Trade Reference 1: * Trade Reference 2: * Trade Reference 3: * Contact Name: * Contact Name: * Contact Name: * Trade Reference 1 Phone: * Trade Reference 2 Phone: * Trade Reference 3 Phone: <