Wholesaler Enquiry

Wholesale access on the Rose & Lily website is restricted to retail customers. You may request access to the website by submitting your details via the registration form below.

Note: Username and passwords must be at least 4 characters in length and no more than 30 characters in length. Numbers and letters can be freely mixed. Email addresses can be used as valid usernames however only letters and numbers are permitted in the password. Once you have been granted access we will email you confirmation.

Please do not apply for wholesale access if you are a market stall holder, online auction site or a group buying site, as your application will not be approved.

 

Personal Details

Title*
First Name*
Last Name*
Phone^
Mobile^
Fax
Email*
Username*
Password*

Company Details

Store Name*
Email*
This address is used to send all order confirmation emails
ABN or ACN*
Company Website*
Describe your store*
(e.g. number of outlets, products of interest)

Company Postal Address (Bill To Address)

Address Line 1*
Address Line 2
Suburb*
State*
Country*
Post Code*

Company Delivery Address (Ship To Address)

Address Line 1*
Address Line 2
Suburb*
State*
Country*
Post Code*

Stay in Touch

Please copy the characters from the image into the text field below. Doing this helps us prevent automated spam submissions 🙂 .

captcha

 

* Please note that all fields with an asterisk (*) are mandatory for your registration to be successful.
^ Only one of the fields is required