Reseller - Good Clean Health Co

Account Application

Business Name

Trading Name*

Type of Business

Limited Company

Parternship

Sole Trader

Other

GST Number if applicable

Registered Business Number (ABN)

Physical Address

Please let us know why our products would be suitable for your business?

Do you have a physical store?

Yes

No Store

How did you find out about us?

ACCOUNTS DEPARTMENT

Email Address for accounts

Contact name for account queries

Phone Number for accounts

Please confirm your estimated annual spend

< $5k

> $5k

AUTHORISATION

I confirm that I am a duly authorised officer of the above-mentioned company and the information supplied on this form is true and accurate to the best of my knowledge.

I acknowledge that as we engage Good Clean Health Co Pty Ltd for services, we agree to the terms and conditions as set out by Good Clean Health Co Pty Ltd.

Terms and Conditions are available on request or are on the bottom of our website.

Good Clean Health Co Pty Ltd 81-83 Campbell Street, Surry Hills, NSW 2010
hello@goodcleanhealthco.com.au | 02 9066 6788

Full Name

Position Held

Date

Become a Reseller

We are glad that you are taking the first step to be part of healthy living and spreading the word about environmentally-friendly, non-toxic products.

ACCOUNTS DEPARTMENT

AUTHORISATION

REGISTER FOR TIPS & CLEANING HACKS

Become a Reseller

We are glad that you are taking the first step to be part of healthy living and spreading the word about environmentally-friendly, non-toxic products.

ACCOUNTS DEPARTMENT

AUTHORISATION

FOLLOW US

REGISTER FOR TIPS & CLEANING HACKS