OV WHOLESALE
APPLICATION FORM
Today's Date
-
Month
-
Day
Year
Date
Stockists Details
Please imput main purchasing contact here.
Company / brand name
*
Contact Number
*
Main Contactable Number
Company Email
*
example@example.com
Website URL
*
e.g www.domain.com.au
Postal
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is Shipping address the same as postal?
Yes
No
Shipping Address ~ Type Same below if same as postal address.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Years in Business
e.g 1-3 Years
ABN
*
Australian Business Number
Stockist Type
Interstate
Local
Interested products & min MOQ (Tick all that apply)
OV Elysian Diffuser Bundles (MOQ-5)
OV Inara Car Diffusers (MOQ-25)
OV Accessories (MOQ-25)
OV E~Wholesale Kit (MOQ-3)
Other
Preferred Payment Type (Tick all that apply)
Credit / Debit Card
Bank Direct Deposit
Purchase Order
Paypal
Stockist's Representative Name
*
First Name
Last Name
Stockist's Representative Email
*
example@example.com
Stockist's Representative Signature
*
Date Signed
-
Month
-
Day
Year
Date
Print Form
Submit
Submit
All Socials Tags
e.g Instagram, Facebook, Other
Should be Empty: