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Wholesale Application for Traders

If you are interested in re-selling our Wicked Dragon line of clothing please fill in and submit this application. Note that minimum order value is £250 before VAT (if aplicable) and delivery charges.

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Company name
your company
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VAT number (if applicable)
VAT number - please enter "n/a" if you do not have one
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Website address
enter your website URL, if you do not have enter "none"
*
Additional Information about your business
Please tell us what business you operate
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First name
Your First name
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Surname
Your Surname
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Position
Position within your comapny
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Address 1
House name or number and Street name where your business is registered
Address 2
Line 2 of your address
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City
City
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County
County (State)
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Post Code
Postal code
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Country
Enter your country
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Telephone number
If outside UK please include your country code
Alternative phone number
Alternative phone number
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Email address
your email address (will send you request to verify)
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Delivery address
 
Is this also your delivery address? If yes you do not have to fill the section below.
Delivery Address
1st line of your delivery address
Delivery address line 2
2nd line of your delivery address
City
City of your delivery address
County
County (State) of your delivery address
Post Code
Your delivery address postal code
Country
Enter your country
*
How did you find us?
Please let us know how you found us
If "other" please specify
Your notes or comments
If you feel like we need to know something else