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Distributor Application

To apply for your wholesale account with swansoneurope.com, please complete the form below with all possible information.
Please read all information on this website before applying – to help us, help you, be successful in delivering better health to your customers.

The application form must be filled only in English language.
All corespondation with distributors (email, phone calls) will be in English.

Company Name * Registered company name. Trading Name * Registered trading name. Main Account Email * What is the primary email address for your trade account? Orders - Contact Name * Main contact name for orders. Orders - Contact Phone Number * Main phone number for orders. Orders - Contact Email Address * Main email address for orders. Payments - Contact Name * Main contact name for payments. Payments - Contact Phone Number * Main phone number for payments. Payments - Contact Email Address * Main email address for payments. Payment Method(s) * Main email address for payments. Paypal - money request
Bank Transfer

VAT Number Please enter your VAT number. Company Number Please enter your company registration number. Website(s) Please list the website URL that you are requesting a licence to re-sell goods on. Do you currently trade on Amazon, eBay or other similar online marketplaces? * Amazon, eBay & other online display names If you currently trade on Amazon, eBay or other similar online marketplaces, please declare your display names here. Outlets & Customers * Tell us about your customer base and where you will be marketing and re-selling products. Expected Order Value Per Month * Enter your expected monthly order amount (€). Expected Order Value Per Month Notes Add any additional details about the monthly order values & amounts. Products, Brands or Ranges * Enter all details about the products, brands & ranges interested in. Email Subscribers * Do you have an email database for product and specific brand promotions? If so, how many subscribers do you have? Enter 0 if you do not have an email database or subscribers. PurchasingMethod * How will you be using our wholesale services? Delivery Country for Bulk Shipments * Which country will the orders be sent to? Deliveries - Contact Name * Primary contact for deliveries. Deliveries - Contact Phone Number * Primary phone number for deliveries. Deliveries - Contact Email Address * Primary phone number for deliveries. Full Registered Business Address * Enter the full delivery address. Delivery Courier / Service Preferences Any special requests for delivery service. Additional Notes Enter any additional notes or information here.
Please answer: 2 + 5 =

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