Distributor / Wholesaler Enquiry Form

Distributor / Wholesaler Enquiry Form
 
Would you like to think about becoming an Alchemy product distributor?
Thank you for your interest in becoming an Alchemy Distributer. To receive catalogue, prices and terms of trading please complete the following form. If you would like to view or buy Alchemy products online please tick the appropiate box below. Please note that the following form is for distributors, wholesalers or importers only.

 Please note: Fields in bold type marked with a red asterisk (*) are required to be completed correctly in order to submit the form.

 
* Contact Name :
* Position :
Owner
Manager
Buyer
Staff Member
Vice President/Director
President/Managing Director
* Business/ Company Name :
 
Please tick here if you trade under your own name and do not have a formal company name. (e.g. Sole Trader)
Please describe briefly your products and/or services :
* Address (Line 1) :
Address (Line 2) :
* City :
* County/State :
* Post/Zip Code :
* Country :
* Telephone (Main) :
Telephone (Other) :
Fax :
* E-Mail :
Web Site :
* Which of these Alchemy product ranges is your trade interest in ?
Gothic Jewellery: Alchemy 1977 alternative fashion jewellery & accessories.
Gothic T-shirts: Alchemy Gothic T-shirts, long-sleeves & hoodies, hats, bandannas, etc.
Boutique Eccentrica: Arca; select Alchemy jewellery, giftware, décor & lifestyle products.
Sterling Silver: Sanctus 47, & customised Alchemy 1977 jewellery & lifestyle products.
Urban Rock 'n Roll Jewellery: Alchemy UL13, pendants, dog tags, rings, belts, etc.
Band Merchandise: AlchemyPOKER officially licensed jewellery, belts & accessories.
Promotional Products: awards, premiums, incentives, OEM & ODM, and bespoke merchandise
* What is the territory or region that you would be interested in supplying?

Would you like to buy Alchemy products online ?
No
Yes
Have you ever dealt with Alchemy products or services before ?:
No
Yes
How did you find us? :

  * additional details