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Nolathane
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Authorised Reseller Application
Organisation Details
Company/Legal Name:
Trading As:
Trading Since:
Phone:
ABN/VAT Number:
Alternate Phone:
Shipping Address
Street Address Line 1:
Street Address Line 2:
Suburb:
Province/State:
Country:
Post/ZIP Code:
Billing Address
Street Address Line 1:
Street Address Line 2:
Suburb:
Province/State:
Country:
Post/ZIP Code:
Contact Details (Owners, Partners, Directors, Managers and/or Buyers)
  Full Name Capacity/Role Contact No. Email
Contact #1
Contact #2
Contact #3
Contact #4
Contact #5
E-Commerce and Social Networking Pages
Website Address:
Instagram Page:
Facebook Page:
eBay ID:
YouTube Channel:
Other sites:
Market Positioning
Number of staff employed:
Estimated annual purchase of Nolathane products:
Are you or have you ever been affiliated with organisations that distribute Nolathane products?
If Yes, please provide details:
Which other leading brands are you currently authorised to sell? (list 5 for reference)
Type of Business:
(tick all that apply)




Vehicle Specialisations:
(tick all that apply)






Events attended or of interest:
(tick all that apply)





If you are a Suspension Centre or Performance Tuner, does your location have the following facilities?
Hoist
Wheel Alignment
Dyno
If you sell Online, do you have the following?
A current Shipping & Returns Policy?
Qualified staff who can offer technical support on Nolathane products?
A landing page dedicated to Nolathane products?
URL
Disclaimer:
Completion of the "Authorised Reseller Application" form does not guarantee automatic recognition as a Nolathane authorised reseller or Performance Partner nor is it an automatic “Account Application". A representative shall contact you should further information be required and Nolathane reserves the right to reject any application without comment as well as remove the reseller from the authorised list at its own discretion.
Contact details of person completing this application
Full Name:
Capacity:
Contact No:
Email:
Date:
In completing this "Authorised Reseller Application" form you agree to the following:
The information provided above is true and complete to the best of your knowledge:
In your capacity, you have appropriate authority to complete this application:
Nolathane Branding and Logos are used in accordance with the Branding Guidelines Version 1.1:
Contacts provided are automatically registered to our e-communication database:
Agree to the terms set out in the Redranger Authorised Reseller Policy:
Thanks for taking the time to complete this form - and thanks for using Nolathane products.