Wholesale – Luvyagut

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RETAILER SIGNUP

We are australia's most trusted and customer-focused natural health product distributor, Specialising in favourite staples and the latest trend.

WE
CARE

EASY
ORDERING

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SUPPORT

NATIONAL
DELIVERY

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1300 208 848

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Company Details^*

Type of Company^*

Private CompanyPublic CompanyPartnershipSole TraderOther

Australian Business Number (ABN)*^*

Type of Business (eg Retailer or Health Food Shop)^*

Please provide further details of your business^*

Website URL/Facebook Page^*

Delivery Address^*

YesNo

Delivery Street Address (No PO Boxes)*^*

Suburb*^*

Postcode^*

Please select STATE^*

Delivery Contact Name^*

Delivery Contact Phone Number^*

If required, can our courier contact your delivery contact directly regarding delivery? ^*

YesNo

Authority to leave orders, if premises are unattended: *^*

YesNo

Contact Details^*

YesNo

Owner's First Name

Owner's Last Name

Owner's Mobile

Owner's E-mail

Name of Primary Contact

Phone Number of Primary Contact

Store E-mail

Online Ordering E-mail

Yes I’m selling as retailer

News and deals *

I confirm that my business contact information will be included as a stockist outlet on supplier websites.^*

YesNo

Yes, I accept terms and condition agreement *

How did you hear about us?*^*

What products and brands are you interested in?^*

Message^*

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1300 208 848

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