Paragon Blue - New Stockist Application
Before Applying - Please read our Terms and Conditions
Email address *
Business Name
Your answer
Full Name *
Your answer
Street Address *
Your answer
Suburb, State and Postcode *
Your answer
Phone *
Your answer
Mobile *
Your answer
Email Address *
Your answer
Website Address
Your answer
Facebook Address
Your answer
Instragram Address
Your answer
Product Description/s *
Your answer
Product Price Range (i.e. $5-$1000) *
Your answer
Design and production of your products *
Your answer
How do you currently sell your products? (Where & How) *
Your answer
Do you agree to Paragon Blue's Terms and Conditions *
Season Application - I wish to apply for the following: *
Required
When would you like to start selling your products in Paragon Blue? *
Your answer
A copy of your responses will be emailed to the address you provided.
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