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Account Application Form

 

 

Tibet Authentic, Inc. are committed to working closely with retail channel partners across Australia and Internationally. We have a dedicated retail support team ready and waiting to assist- sell, merchandise and promote our unique and exciting range of products.

We look forward to offering you a range of support mercantilism including- Trading credit accounts, In store displays, Promotional brochures, and promotional posters for counter top or wall use. Please complete and return the Form below and we shall contact you within 3 Business days.

Store Name
Company Name
Federal Tax ID
Year Commenced Trading
Type of Business
Address
Zip Code
State
Country (if not United States)
Phone Number (inc. Area code)
Fax Number (inc. Area Code)
Email Address
Web Site URL
Director/Shop Owner Name(s)
Store/Shop Manager
Number of Employees
Trading References 1
Company Name
Address
State
Zip Code
Phone Number
Email Address
Person to Contact
Type of Business
Years Dealt With This Company
Trading References 2
Company Name
Address
State
Zip Code
Phone Number
Email Address
Person to Contact
Type of Business
Years Dealt With This Company
Referrers
How Did You Hear About Tibet Authentic?
Have You Seen Any Product Samples Yet?
What would you estimate your monthly initial orders to be in $?
Do you have any other shops or branch locations?
If so pls details suburb/city of other locations