First name *

Last name *

Company name *

Street address *

City *

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State *

Phone *

Please select your wholesaler region* ---Select--- Wholesaler - New Zealand Wholesaler - Rest of World Wholesaler - Sydney Metro Wholesaler - NSW, ACT, VIC, QLD, TAS, SA Wholesaler - WA and NT Wholesaler - Asia and Pacific Wholesaler - USA and Canada Wholesaler - UK Wholesaler - Europe

ABN/Tax ID * Please enter your ABN for Australian wholesalers or Tax ID for international wholesalers.

Social media accounts * Please enter your social media usernames - e.g. Facebook page, Instagram account.

Brief description of your business * For example - how many years you've been trading, brands you stock etc.

Type of store * Online store Bricks and mortar store Bricks and mortar store with an online store Pop-up store

Where do you intend to sell FLATOUTbears? * Please list all websites and/or online platforms.

Website address * If you do not have a website please write 'NA' above

Are you a discount store? * No Yes FLATOUTbear defines a discount store as selling products continuously lower than full RRP.

Do you agree to our Wholesale Terms of Trade? * Yes, I agree to the Wholesale Terms of Trade

Position

Would you like to subscribe for email updates? Yes, I would like to receive occasional updates by email

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