Do you want to become a retailer of our brand?

Business Name*
Country*
VAT Number*
Type of Business
E-mail*
Username*
Password*
Repeat Password*
Telephone Number
Delivery Postcode*
Delivery Street Address *
City*
Contact Person Name*
Contact Person Job Title*
What brands do you currently carry*
Do you plan to sell filipiana item online*
- Yes
- No
Please link your social media account
I confirm that I will NOT sell filipiniana items on national and/or global selling platforms, including but not limited to Amazon, Ebay, Etsy, Tradera, Cdon, Fyndiq, Blocket without written approval from filipiniana.*
- Yes
I have read and agree to the terms of filipiniana. The info can be found at the bottom of the page, in the footer.*
- Yes
*