If you will be a regular user of our lampshade supplies, please complete the following form to apply for a wholesale account. We offer generous discounts for higher volume customers :-)

Wholesale Registration

Registration

Username*

Email*

Password*

Customer billing address

First Name *

Last Name *

Company *

Address line 1 *

Address line 2 (optional)

City*

Postcode / ZIP *

State (optional)

Phone *

Customer shipping address

Copy from billing address

First Name *

Last Name *

Company *

Address line 1 *

Address line 2 (optional)

City *

Postcode / ZIP *

State (optional)

ABN

Wholesale Registration

Wholesale Registration

Registration

Customer billing address

Customer shipping address

Title

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