Wholesale Account Request Form
Please fill the form below to request for a wholesale account
First Name *
Your answer
Last Name *
Your answer
Company Name *
your company name
Your answer
Company VAT Number *
Your answer
Company Phone Number *
your company phone number
Your answer
Email Address *
email id to be used for wholesale account
Your answer
Company Address Line 1 *
company address
Your answer
Company Address Line 2
Your answer
City *
Your answer
County *
Your answer
Postcode *
company postcode
Your answer
Company Website
company address if any
Your answer
Business Type *
Gift Shop, Independent Retailer and High Street Boutique
Your answer
Additional Information
any other info you would like to tell us
Your answer
Submit
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This form was created inside of Colette Green Limited.