WHOLESALE Application

form

Terms and Conditions

Business information

Business/Trading Name

Legal business name (if different)

ABN/ACN

Website URL

Instagram/Social Media

Business Address

Shipping/Delivery address (if different)

State/Terrritory

How long have you been trading?

Contact Information

Primary contact name

Position / role

Email address

Phone number

Best method of contact

Accounts / Purchasing contact, if different

Your Retail Busines

Briefly describe your business and customer base.

What products do you currently specialize in?

What brands or product categories do you currently stock?

What is your approximate monthly customer volume?

Do you have a physical retail location?

Yes

No

If yes, how many locations?

Do you also sell online?

Yes

No

I am considering this option

Where did you discover House of ZIYA?

Wholesale interest

What quantities are you initially interested in?

Are you interested in ongoing wholesale supply?

Yes

No

Unsure

Are there particular products you would like to see added to the wholesale range? Please describe.

Retail Positioning

What price point best describes your store?

Affordable

Mid-range

Premium

Luxury

What makes House of ZIYA a good fit for your customers?

Wholesale account details

Preferred opening order value

Minimum $350

> $350

Expected reorder frequency

Monthly

Every 2-3 months

Quarterly

As required

Preferred ording method

Online Wholesale store

Email purchase order

Other

Do you require specific retailer documentation?

Yes

No

Unsure

Do you require testers or display samples?

Yes

No

Unsure

Other

Do you require custom packaging or private labelling?

Yes

No

Shipping & payment

Preferred delivery method

Please explain any specific delivery requirements you may have

Billing Address

Purchase order number required?

Yes

No

I confirm that the information provided is accurate.

I understand that wholesale approval is subject to Jouse of ZIYA's approval.

I agree to comply with House of ZIYA's wholesale terms and conditions.

I understand that wholesale pricing, minimum order quantities and recommended retail pricing are confidential.

I agree not to represent House of ZIYA products in a manner inconsistent with the brand's approved product information.

What attracted you to House of ZIYA, and why do you feel our products would complement your store?