Application to become a Bay Bee Cino Stockist / Wholesale Account

We are delighted to now offer our ranges of Bay Bee Cino and Madison Rose to other retailers. To submit an application to become a stockist , please fill out the form below. Fields marked with an * are mandatory.

BUSINESS DETAILS

1. Trading Name / Company Name*
2. ABN*
3. Business Address*
5. Suburb / City*
6. State*---ACTQLDNSWNTSATASVICWA  Post Code
7. Daytime Phone*
8. Mobile
9. Fax
10. Email Address*
11. Business Type:MaternityBabyGiftOrganic
12. Store Type*Online StorePhysical StoreBoth
13. Website address
14. Other Brands Stocked

 

TRADE REFERENCES

1. I  Ph:
2. II  Ph:
3. III  Ph:

 

SECTION 1. SOLE TRADER/PARTNERSHIP

1. Complete Section 1 only if you are Sole Trader/Partnership
2. Registered Business Number  Type of Business:
3. Date Registered  Years Trading:
4. Owner / Partner 1 Address: DOB:
5. Owner / Partner 2 Address: DOB:
6. Owner / Partner 3 Address: DOB:
7. Owner / Partner 4 Address: DOB:

 

SECTION 2. LIMITED COMPANY

1. Complete Section 2 only if you are a Limited Company
2. A.C.N
3. Date Incorporated
4. Address of Reg. Office

 

TERMS AND CONDITIONS

1. Your Name*