Register For TRADE ONLY ACCESS

     

 

This Application Form is available to Australian Based Trade Businesses ONLY.

Once Access is approved, you will receive a website username and password for the Laceys.tv website to browse and purchase our products online.

A Customer Sales Account will also be set up for accounting.

Please fill out all of the *required fields to apply for a website account and a purchasing account with Laceys.tv.

New Wholesale customers are asked to contact our Sales Team directly sales@laceys.tv on 03 9776 9222.

Suppliers and International requests will not be processed.

Company Name *

ABN Number  

Contact Name *

Email *

Phone  

Address *

Note: PO Boxes will not be available for shipping

City / Suburb *

State *

--- Select State --- ACT New South Wales Northern Territory Queensland South Australia Tasmania Victoria Western Australia

State *

--- Select State --- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington, D.C. West Virginia Wisconsin Wyoming

State *

--- Select State --- Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon

State *

--- Select State --- Agrigento Alessandria Ancona Aosta Arezzo Ascoli Piceno Asti Avellino Bari Belluno Benevento Bergamo Biella Bologna Bolzano Brescia Brindisi Cagliari Caltanissetta Campobasso Caserta Catania Catanzaro Chieti Como Cosenza Cremona Crotone Cuneo Enna Ferrara Firenze Foggia Forli-Cesena Frosinone Genova Gorizia Grosseto Imperia Isernia La Spezia L�??Aquila Latina Lecce Lecco Livorno Lodi Lucca Macerata Mantova Massa-Carrara Matera Messina Milano Modena Monza e Brianza Napoli Novara Nuoro Oristano Padova Palermo Parma Pavia Perugia Pesaro Pescara Piacenza Pisa Pistoia Pordenone Potenza Prato Ragusa Ravenna Reggio Calabria Reggio Emilia Rieti Rimini Roma Rovigo Salerno Sassari Savona Siena Siracusa Sondrio Taranto Teramo Terni Torino Trapani Trento Treviso Trieste Udine Varese Venezia Verbania-Cusio-Ossola Vercelli Verona Vibo Valentia Vicenza Viterbo

State *

--- Select State --- Drenthe Flevoland Friesland Gelderland Groningen Limburg Noord-Brabant Noord-Holland Overijssel Utrecht Zeeland Zuid-Holland

State *

Postcode *

Comments  

Verification Code *

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