Product or Service Submission Form
Contact Details
Company Name
*
Company Reg Number
*
Main Contact Name
*
Business Email Address
*
Telephone Number
*
Account setup required?
*
Yes
No
Payment Terms?
*
If your enquiry relates to a service, please provide details here. If it relates to provision of goods, please complete the rest of the questions
Minimum Order Volume for free delivery?
*
Carriage charge if below Minimum Order Volume?
*
Product Proposal
Please click here to enter product information
Product 1
Rows
Product Proposal
Description
Pack Size
Price Per Case
Avaliability/Lead Time
Jangro label option?
Comments
Product 2
Rows
Product Proposal
Description
Pack Size
Price Per Case
Avaliability/Lead Time
Jangro label option?
Comments
Product 3
Rows
Product Proposal
Description
Pack Size
Price Per Case
Avaliability/Lead Time
Jangro label option?
Comments
Product 4
Rows
Product Proposal
Description
Pack Size
Price Per Case
Avaliability/Lead Time
Jangro label option?
Comments
Please upload any supporting documents for your product. Attach specification sheets and images as required and if the products require MSDS and/or certification then we cannot review without the relevant documentation attached
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We do not store any data on our secure servers. They will not be added to Jangro's Expression of Interest database for current and future reviews, if you wish your data to be stored on our secure server please tick the box below.
I want my data stored with Jangro
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