Retailer Enquiry Form

If you're interested in stocking Imperium Organics please complete the enquiry form below. A member of our team will get in touch with you to discuss if and how we can best service your requirements.

Your Name

Company Name

Company Registration Number

Registered Business Address

Are you VAT registered?

Yes No

Contact Phone Number

Website

Field of Business Activities

Home and garden care Garden retail Landscaping and amenity Nursery Variety retailer Other - please state

Other business activity

How do you sell your products?

Own webshop eBay Amazon In store Other - please state

Other way of selling products

Please outline your requirements below - including pack size, product volume, shipping postal code(s) (so we can evaluate delivery fees for you) and other information you feel is important

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