Thanks for your interest in selling eekoloks®. This form takes about 10 minutes. Please have your ABN and store details ready. We'll review your answers within 2 business days and send your agreement for signing.

Section 1 — Your Business

Company Name *

Legal entity name of the business.

Trading Name

Leave blank if the same as your legal name.

Australian Business Number (ABN) *

Registered for GST?

Yes

Required if your turnover is $75,000 or more.

Business Address

Street Address *

Country *

State *

City *

Postal Code *

Contact's First Name *

Contact's Last Name *

Position *

Email *

Phone *

Section 3 — Shopify Store Information

Shopify Store name *

Must not include "eekoloks".

Store URL *

Your live store address, e.g. yourstore.com.au. The domain must not include "eekoloks".

Shopify Refund Policy Page *

Link to your published refund or returns policy.

Shopify Store Screenshot *

Click to upload

A screenshot of your store's home page.

Dispatch Time Confirmation *

I agree.

I will show a dispatch time of at least 2 business days for eekoloks products.

Shipping Confirmation *

I agree.

I will ship eekoloks products to Australian addresses only.

Section 4 — Orders

Packing Slip Preference

My own packing slip

No packing slip

Your customer must see you as the seller. We never include eekoloks invoices or flyers.

Upload Packing Slip

Click to upload

Showing your business name and return details.

Products you're interested in

Tell us which eekoloks products you'd like to sell. Your Approved Products list is sent after you sign the agreement.

By checking this box, I confirm that: (1) my details are correct and match my ABN and store account; (2) I will only use approved eekoloks images/wording and will not use 'eekoloks' in my business/store name; and (3) eekoloks may use these details to assess my application and prepare my agreement.

By checking this box, I consent to receive marketing and promotional messages including special offers, discounts, new product updates among others from eekoloks® Haircare Australia at the email/phone number provided.