} } ?>

Reseller Partner Info

Registered Company Name*
Trading Name*
Postal Address*
Street Address Address Line 2 City ZIP / Postal Code
Physical Address*
Street Address Address Line 2 City ZIP / Postal Code
Contact Person*
Telephone Number*
Email Address*
Credit Terms Offered*
Services/Products Required*
- Stamps
- Badges
- Stickers
- Business Cards
- Plan Printing
- Posters & Banners
- Canvas Printing
Current Spend*
VAT Registration No.
*
- I do herby warrant that all the information supplied herein is true and correct. I understand that the payment terms offered are, payment on presentation of statement (month end). Should payment be late by more than 7 days on two occasions, orders will need to be paid for in advance before dispatching them per courier. I confirm that I am authorised to present this document on behalf of the company listed above.
Your Full Name*
Your Designation*
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