The Cotton Company - Wholesale Application Form
Thank you for applying to be one of our valued customers!

After you fill out this form, we will liaise with you as soon as possible.  

If you have any questions in the meantime, please feel free to contact us at info@thecottoncompany.co.za 

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Email Address *
First Name *
Last Name *
Registered Business Name
Trading Name *
What is the nature of your business *
VAT Number
Contact Number *
Alternative Number
Physical Address (Business Location) *
Registered Business Address
Shipping / Postal Address
Website
Facebook / Instagram
How did you first learn about us? *
If you were referred by a rep, please name the rep:
How many years has your business been running? *
Why are you interested in our products? 

(Are you interested in stocking our products in your shop; are you interested in procuring our products for a lodge / or for corporate gifting / events; etc?)
 *
Comments & Suggestions

Please tell us more! We are always striving to improve, feel free to comment or give us any suggestions you have. 
Would you like to sign up to our wholesale / trade mailing list? (We don't send a lot of emails, so don't worry about us flooding your inbox!)
 *
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