Stockist Application Form

About You

Tell us a little about yourself.
Applicant Name*

First NameLast Name
E-mail Address*
Tel Number*

Area CodePhone Number
About Your Business

Tell us a little about your company and where you're based.
Business Name*
Address*

Address Line 1

Address Line 2

CityCounty

Post CodeCountry
Website Address
What is your role in the business?*
Your Business Setup

This helps us understand how you trade and what kind of retail space you have.
Are you currently trading?*

YesNo
How long have you been trading?
Do have a bricks and mortar retail shop?*

YesNo
If yes, how many locations?
Do you also sell online?

YesNo
No. of employees
Final Details

Anything else you'd like us to know before we get in touch?
Any further information you would like us to consider?
How did you find out about us?

OnlineExisting StockistSocial MediaWord of MouthOther
Thank you for your interest in becoming an official Stonelux stockist. Once we've reviewed your form, a member of our team will be in touch with your Stockist Inforamtion Booklet and next steps.
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