Formulite Wholesale/Stockist Application Form


Company Details

Company Address

Suburb

State

Postcode

Country

Phone/Mobile

Email





Details of Director(s)

Full Name

Your Address

Suburb

State

Postcode

Country

Phone/Mobile

Email



Delivery Instructions

Address For Order Delivery

Opening Hours For Delivery

Did you want your business to appear on the Formulite website under stockists?

YesNo

If Yes, then please supply a jpeg file of your logo (max 2MB) with you application. You grant Formulite the non-exclusive, worldwide, royalty-free rights to display the logo on the Formulite website and to state that you are a stockists of Formulite products.

I acknowledge that all the above information is correct and true to the best of my knowledge. I also understand that any misleading or incorrect information may result in the rejection of my application. I have read and understand the Formulite Term of Sale.