Wholesale Enquiry Form UK site

Bohemia Wholesale Stockist Enquiry

Contact Name *

Shop Name *

Type of Shop *

Shop Address *

If you are an online shop please just type WEB

Shop Address Post/ Zip Code *

Shop Country *

Delivery Address *

Delivery Address Post/ Zip Code *

Email *

Phone Number *

EORI Number (if applicable)

Identification number for importing & exporting with the EU

Website

Social Media handle

For example, @bohemiadesign

Tell us a bit about your shop and the products and brands you stock *

How did you hear about Bohemia? *

If you responded Other, please let us know how you heard about Bohemia

Would you like to be added to our mailing list? *

Yes

No

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Order products

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Order Total (The sum of all the prices of all the items in the order, taxes and discounts included.)

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Contact information

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Shipping address

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Billing address

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