Welcome Distributor

If you would like to become a Distributor of LIDWIG Products, please fill out the form below.
Once the accounts department approves the application, we will send a confirmation email
stating your Company’s approval.

If you prefer you can download the application form here:

Download LIDWIG Distributor Application Form PDF


Online Distributor Application Form
  Company Name:    
  A.B.N.:    
  Contact Person Name:    
  Position in company:    
  P.O. Box:    
  Suburb/Town:    
  State/Region/Province:   Post/Zip code:  
  Delivery Address:    
  Suburb/Town:    
  State/Region/Province:   Post/Zip code:  
  Country:    
  Phone number:    
  Mobile phone number:    
  Fax number:    
  Email address:    
  Please contact me by:    
    I agree to the Trading Agreement.  
 
CREDIT REFERENCES:
  Company 1.   Ph.  
  Company 2.   Ph.  
  Company 3.   Ph.  
 
 
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