Account Application Form

Account Application Form

PLEASE NOTE: When submitting your application, you will need to provide a current ABN, we will check to ensure your business is registered. Please indicate if you are a ‘bricks and mortar’ store or web retailer with an active website. If you are a manufacturer, please specify how your goods are sold.
Customer Details:
Trading Name:*
ABN:
Company Name:
Please only supply a physical address. Our freight company will not deliver to PO Boxes.
Delivery Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Mobile Number:*
Business Number:
E-mail:*
example@example.com
Proprietor / Owner Name:*
Is your Business Bricks & Mortar or Online Only?*

Bricks & MortarOnline OnlyOther
Please describe your business. If you are a manufacturer, please specify how your goods are sold:
Website Address:
Instagram:
Facebook:
We promote new products and specials via email. If you wish to receive these emails, please check the boxes of interest:

Patchwork & QuiltingLiberty FabricsFashion Fabrics
Please verify that you are human*
Should be Empty: