Linden Leaves — Become a Partner

Company Information

Legal Business Name *

Please enter the legal business name.

Trading Name

Physical Address *

Please enter the physical address.

City *

Please enter the city.

Postcode *

Please enter the postcode.

Country *

Please enter the country.

Business Landline

Nature of Business

Postal / Billing Address

Same as physical address

Postal Address

City

Postcode

Country

Buyer Details

First Name *

Please enter the first name.

Last Name *

Please enter the last name.

Email *

Please enter a valid email address.

Mobile

Billing & Accounts Contact — if different from buyer

First Name

Last Name

Phone

Online Presence

Website

Facebook

Instagram

TikTok

Trade References

Reference 1 — Name

Phone

Reference 2 — Name

Phone

I'm a new business — I don't have trade references yet.

By submitting this application, you authorise Linden Leaves Ltd to approach the trade references listed above to release credit history details for the purpose of this account application only.

You confirm that the information provided is true and correct to the best of your knowledge, and that you are duly authorised to enter into this application on behalf of the business.

I have read and agree to be bound by the Linden Leaves terms and conditions of trade. *

You must agree to the terms to continue.

Application Received

Thank you — your retailer account has been created. The Linden Leaves team will be in touch shortly with your account details and wholesale pricing.