Subpod Distributor and High Volume Order application form

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Please answer all questions so that we can assess your application appropriately

Email *

Name of Purchaser/Company *

First Name *

Last Name *

Address - Number & Street *

Address - Town/Suburb/City *

Address - State

Zip code/postcode

Address - Country *

Phone number, including country and area code *

Is the purchaser an individual, a business, a cooperative or some other type of organization?

(Please give details & be specific, this allows us to better support your inquiry, and personalize your request)

Please describe your primary business. Are you a distributor, retailer, online store, etc? *

Please list any websites or links you have to explain your business. *

If you are a distributor or represent any other companies please list the names of these companies and any relevant websites.

Do you have experience importing ex-works? *

Which product(s) and how many units are being inquired about?

Please type in the quantity of each product below:

Subpod *

Grow Bed

Aerator

Afends Feed the soil. Feed the world T-shirts

Precisely what are they being purchased for? (Please be specific)

Please note, if you are considering on-selling our product we require that you disclose this, as there are terms and conditions which we require you abide by as a condition of your purchase

Use by purchaser - Private

Use by purchaser - Commercial

Use by a cooperative

To be ‘on-sold’ in some manner to other parties.

Other:

Ship to Address (PO Boxes not accepted)

What type of price quote is requested? Eg Door to Door, ex-works, FOB, CIF, FCL, etc. Please note at the moment we are only quoting ex-factory/ex-works.

Is there any other type of relevant shipping or packing information that will assist us in better meeting your needs?

e.g. Individual boxes, all on pallets, limited keys etc

Is there any other information relevant to this order that will help us to assess your application?

Thank you for taking the time to fill out this form and your interest in Subpod :)

A copy of your responses will be emailed to the address you provided.

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