Register

Name of Company*

Type of business*

Name of responsible owner / member / partner / director? *

Site of Business*

Retail StoreOnline Store

HomeOther (Specify)

Site of business (other). Please specify below.

Website address

How long has this business been in existence?*

Less than a year1-3 years

5 years +

Vat Number (if available)

Physical Address*

Contact Person

First Name and Surname*

Designation*

E-mail Address*

Phone Number/s*

Motivation

Which Of The Following Products Will You Promote*

Would you be interested in receiving our promotional brochures?*

YesNo

Motivation: Short motivation, explaining how you believe you qualify to be a reseller. E.g. Health Shop, Therapist, Doctor etc.

If you are not VAT registered and/or do not have a website, please supply supporting evidence of the existence of your business e.g. Photos, Workshop invitations, etc. Please email your supporting documents to dealers@fatpurpletrading.co.za or upload them by clicking the upload button below.

Upload

My first order will comprise of*

Please advise what your first order items are for*

Account information

Please keep this information safe. Once your application is approved, you will be able to log in with the details you entered below.

Username*

Password*

Confirm Password*

Acknowledgement of terms and conditions:

Office hours: Mon-Thurs 08:00 to 16:00 and Fridays 08:00 to 13:30. Closed during lunch breaks: Mon & Wed 13:00 - 13:30, Tue & Thurs 13:00 to 14:00, Fri 12:00 to 12:30
Daily order deadline is 10:30
Payment method is EFT only - Cash deposits attract bank charges.
Proof of payment to be sent to sales@fatpurpletrading.co.za
Orders not paid within 48 hours are automatically cancelled.
Conglomus Service Centre contact details are: service@conglomus.co.za

Show full terms and conditions

Reseller Application form

Contact Person

Motivation

Account information

Acknowledgement of terms and conditions: