Which brand are you applying for to stock:

Registered Shop/Business Name:

Form of business:
Retail Store(s)Internet SalesDecorating ServicesEventsCorporate GiftingOther

If other, please specify:

Do you have a website, if yes, please provide details:

Do you have a Facebook page, if yes, please provide details: (required)

Please provide brands of other home Fragrance products you stock:

Are you looking at selling this brands on your website:

Have you sold any of these brands before:

If so, which:

Are you part of a franchise:

Please provide business / store's physical location / delivery address:

Please note, should approval be given it will ONLY be for this above mentioned location.

Business / Store contact number:

VAT Number:

Company Registration No:

Buyers Details

Accounts Person Details

• Please note this application is subject to your business meeting the brands International criteria.
• Approval criteria can be changed without notice.
• By ticking confirm below, you hereby confirm the above information within this 'Retail Application' is accurate and allow to be submitted for the review and approval.

Name: 

Date:

Confirmation: