Application to become a Bay Bee Cino Stockist / Wholesale Account

We are delighted to now offer our ranges of Bay Bee Cino and Madison Rose to other retailers. To submit an application to become a stockist , please fill out the form below. Fields marked with an * are mandatory.

BUSINESS DETAILS

1. Your Name* 
2. Trading Name / Company Name*
3. ABN*
4. Business Address*
6. Suburb / City*
7. State*---ACTQLDNSWNTSATASVICWA  Post Code
8. Daytime Phone*
9. Mobile
10. Fax
11. Email Address*
12. Business Type:MaternityBabyGiftOrganic
13. Store Type*Online StorePhysical StoreBoth
14. Website address
15. Other Brands Stocked

 

TRADE REFERENCES

1. I  Ph:
2. II  Ph:
3. III  Ph:

 

SECTION 1. SOLE TRADER/PARTNERSHIP

1. Complete Section 1 only if you are Sole Trader/Partnership
2. Registered Business Number  Type of Business:
3. Date Registered  Years Trading:
4. Owner / Partner 1 Address: DOB:
5. Owner / Partner 2 Address: DOB:
6. Owner / Partner 3 Address: DOB:
7. Owner / Partner 4 Address: DOB:

 

SECTION 2. LIMITED COMPANY

1. Complete Section 2 only if you are a Limited Company
2. A.C.N
3. Date Incorporated
4. Address of Reg. Office