Wholesale Account Application

Art by Mirree Wholesale Account Application

Please fill out this quick form to let us know about your business. We should get back to you within 48 hours. If you haven't heard from us please feel free to email us at hello@artbymirree.com.au Please Note: Our initial minimum order value is $250.00. Thanks for your interest in stocking Art by Mirree!
Name*

First NameLast Name
Email
example@example.com
Company Name*
Company Phone Number*

Area CodePhone Number
Company Email*
example@example.com
Bussiness Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you sell online?

YesNo
Website*
What type of business are you? (Tick any that are applicable)

Retail ShopRetail Shop (2+ locations)GalleryOnline ShopVendor At EventsEbay/Facebook Seller
What other brands do you carry?*
Are you social? (Post your social media links here)*
Do you have a question, comment or message for us?*
Privacy Notice: Information obtained through the use of this form will never be shared to any third parties without your permission. All information gathered in this form is for the purposes of assessing your application, setting up your account and communicating with you in regards to your account only. If your application is denied (for whatever reason), all data obtained through the use of this form will be deleted immediately.
Should be Empty:

Art by Mirree Wholesale Account Application