Register to become a representative with Herbal & Herbs.
Thank you for taking interest in the Herbal & Herbs range. As a representative with Herbal & Herbs we offer 25% off our retail price with no minimum purchase. We offer 2 options of joining our business. If you wish to have a link that your customers can order from & you can advertise in your business there will be a monthly fee of $8.95. If you do not require a link ie online store or brick & mortar store it is FREE. If you wish to continue your application please provide all required details to register your business with us. On receipt our team will assess your application and contact you via email with details on how to complete your first order and provide you with all the required information. If you choose our link option we will email you a link to complete your sign up and pay your first invoice for $8.95.
Name
*
First Name
Last Name
Business Name
ABN
Contact Number
*
E-mail
*
example@example.com
Shipping Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Billing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Type of Business
*
Please Select
Online shop
Physical Store
Online seller
Cafe
If Others, please specify below.
How did you hear about us?
Please Select
Word of mouth
Google
Social Media
Representative
If you heard about us through a representative please put name below:
Please tell us about yourself store, what you sell & how you wish to sell the Herbal & Herbs brand. If you are a online store please enter website link.
Do you require a link?
Yes
No
Signature
Submit Registration
Should be Empty: