New Stockist
This form allows us to grab the details we need to set you up as an authorised AWA Stockist.
Email address *
What Business Name would you like on your invoices? *
What is the full name of the "Primary Contact Person" (for correspondence and invoicing) *
What is the email address of the "Primary Contact Person"? *
What is the phone number of the "Primary Contact Person"? (mobile preferred) *
If there is another contact person, please list their Full Name and Email below:
What is your website URL?
For Shipping Stock - enter Shop Number (if applicable)
For Shipping Stock - enter Street Number *
For Shipping Stock - enter Street Name *
For Shipping Stock - enter City/Town *
For Shipping Stock - enter State *
For Shipping Stock - enter Postcode/Zipcode *
For Shipping Stock - enter Country *
If you are outside of Australia, please list any other information we should know about shipping to you
If you have an ABN, please provide it here:
Would you like to appear on our Stockists Page on the AWA website? *
For the address on our Stockists Page - enter Shop Number (if applicable)
For the address on our Stockists Page - enter Street Number
For the address on our Stockists Page - enter Street Name
For the address on our Stockists Page - enter City/Town
For the address on our Stockists Page - enter State
For the address on our Stockists Page - enter Postcode/Zipcode
For the address on our Stockists Page - enter Country
What are your opening hours on Monday in 24 hour "HH:MM" format? (ie 9am-5pm is 09:00 - 17:00)? *if closed just type "CLOSED"
What are your opening hours on Tuesday in 24 hour "HH:MM" format? (ie 9am-5pm is 09:00 - 17:00)? *if closed just type "CLOSED"
What are your opening hours on Wednesday in 24 hour "HH:MM" format? (ie 9am-5pm is 09:00 - 17:00)? *if closed just type "CLOSED"
What are your opening hours on Thursday in 24 hour "HH:MM" format? (ie 9am-5pm is 09:00 - 17:00)? *if closed just type "CLOSED"
What are your opening hours on Friday in 24 hour "HH:MM" format? (ie 9am-5pm is 09:00 - 17:00)? *if closed just type "CLOSED"
What are your opening hours on Saturday in 24 hour "HH:MM" format? (ie 9am-5pm is 09:00 - 17:00)? *if closed just type "CLOSED"
What are your opening hours on Sunday in 24 hour "HH:MM" format? (ie 9am-5pm is 09:00 - 17:00)? *if closed just type "CLOSED"
What Phone Number would you like us to put on our website Stockists Page?
What Email Address would you like us to put on our website Stockists Page?
Terms & Conditions - these are linked here: https://www.dropbox.com/s/ed70xrk6tffw84k/AWA_WS_T%26Cs.pdf?dl=0 *
Required
A copy of your responses will be emailed to the address you provided.
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