Business Login Application

Company Name*:
ABN/ACN:
Address 1*:
an actual delivery address please (no PO. Box)
Address 2:
Suburb/Town*:
State*:
Postcode*:
Contact Name*:
Email address*:
this email will be used to setup your wholesale login
Phone No.*:
Fax:

* - required fields.

Number of years trading under present ownership:   (enter 0 if new business)


Estimated spend with BARAMA per year:

< $200    $200 - $500    $500 - $1,000    > $1,000


Number of times you expect to order from BARAMA per year:

1 - 2 times    2 - 4 times    4 - 6 times    > 6 times


Type of Business: (please tick one or more options)

Clothing Gift Pharmacy
Craft Hamper Stationary
Florist Jewellery Wedding Supplies
Food Nursery/Hardware Other

Products you are most interested in: (please tick one or more options)

Gift Boxes Wrapping Paper Ribbon
Organza Bags Tissue Christmas
Accessories/Trinkets Cello/Shreds & Fills Other Products

Other relevant information:

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