Retail Program Application

Your Details

BUSINESS NAME

BUSINESS NAME*

CRN

ABN*

CONTACT NAME

CONTACT NAME*

EMAIL ADDRESS

EMAIL ADDRESS*

PHONE

PHONE*

ALTERNATIVE CONTACT NAME

ALT CONTACT NAME

ALTERNATIVE CONTACT EMAIL

ALT CONTACT EMAIL

ALTERNATIVE CONTACT PHONE

ALT CONTACT PHONE

BUSINESS ADDRESS

BUSINESS ADDRESS*

STORE ADDRESS

STORE ADDRESS*

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HOW LONG HAVE YOU BEEN IN OPERATION FOR?

HOW LONG HAVE YOU BEEN IN OPERATION FOR?

WHAT PRODUCTS AND BRANDS ARE SOLD IN YOUR STORE?

WHAT PRODUCTS AND BRANDS ARE SOLD IN YOUR STORE?

STORE OPENING HOURS

STORE OPENING HOURS

BUSINESS WEBSITE

BUSINESS WEBSITE

BUSINESS FACEBOOK

BUSINESS FACEBOOK

BUSINESS INSTAGRAM

BUSINESS INSTAGRAM

PLEASE TICK ALL THAT APPLY TO YOUR BUSINESS:
- Open to the public
- Sells directly to trades and designers
- By appointment only
- Have previously purchased ABI Interiors products

WHY WOULD YOU LIKE TO JOIN OUR RETAIL PROGRAM?

WHY WOULD YOU LIKE TO JOIN OUR RETAIL PROGRAM?*

PLEASE INCLUDE ANY ADDITIONAL INFORMATION BELOW

PLEASE INCLUDE ANY ADDITIONAL INFORMATION BELOW

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Max. file size: 35 MB, Max. files: 5.
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Please submit images or videos displaying the issue and include an additional photo with the product batch number. The product batch number can be found on the box as per the image below.

Please note you can submit up to 5 files. The total file(s) size cannot exceed 35MB.

If you are experiencing issues uploading the files, please submit the form with a single photo and our team will get back to you if we require more details. If the error persists please email the above details and files to
[email protected]
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