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Retailer Signup

Retailer Signup

Supermarketing is the trusted wholesale distributor of natural products in Australia, from better-for-you snacks, pantry staples, protein and supplements to eco-living and cleaning.

We are retailers' one-stop for expert market trends, reliable service and sales support. Plus, 4,000+ quality products from 250+ Australian and international brands.

Please note we do not sell directly to the public.

Retailer Signup

Application for Credit Account

Your Details

Company Legal Name *

Trading As *

Company, P’Ship, Sole Trader, Trust *

Business Trading Address *

Registered Office Address *

Postal Address*

Nature of Business or Occupation*

ABN*

ACN*

Business Phone*

Metcash no.

Alt. Business Mobiles

Accounts Contact Name *

Accounts Phone *

Acct. Fax

Email contact for accounts *

Email contact for ordering product

Email contact for promotions

Names of Directors, Partners or Individual Traders

Name 1

Address 1

Phone 1

Name 2

Address 2

Phone 2

Name 3

Address 3

Phone 3

Three Current Credit References

Name 1

Phone 1

Email/ Fax 1

Name 2

Phone 2

Email/ Fax 2

Name 3

Phone 3

Email/ Fax 3

Do you use Purchase Orders ?

Credit Limit Required *

Account *

Referred By

Singed

Full Name

Date

Positions

Click the button "Save Singed" before submitting the form to save the signature

Clear Singed Save Singed

Singed 2

Full Name

Date

Positions

Click the button "Save Singed" before submitting the form to save the signature

Clear Singed Save Singed

Acceptance

I certify that the information is true and correct and that I am authorised to make this application. I have read and understand the conditions of trade of Supermarketing Pty Ltd which form part of, and are intended to be read in conjunction with this Prepay Account Application and agree to be bound by these conditions. I authorise the use of my personal information as detailed in the Privacy Act clause therein.

Please note that details input in Primary Contact above will be listed

03 9894 2212