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Golden Bites Food Service

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Wholesale Account Registration Form

Contact Person

Full Name*

Position

Phone*

Email*

Business Information

Business Name*

ABN (Australian Business Number)*

Business Type

Restaurant

Cafe

Takeaway Shop

Supermarket / Grocery

Catering Business

Other

Business Website or Social Media Page

Business Address*

Delivery Address

Postcode*

Products Interested In

Dim Sum

Dumplings

Steamed Products

Semi-Prepared Products

Fried Products

Meatballs

Roast Products

Frozen Products

Catering Products

Additional Notes / Special Requests

I confirm that the information provided is correct and understand that submitting this application does not guarantee approval of a Golden Bites wholesale account.

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