First Name *

Last Name *

Phone *

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Agent / Stockist Additional Information

Registering as a stockist or agent? (Please Select)* ---Select--- Agents Stockists

1. What other craft products do you stock or market? (Agents / Stockist)

2. Do you stock stencils? (Stockist Only) Yes No

3. What type(s) of paint do you stock? (Agents / Stockist)

4. Will you be able to do product demonstration? (Agents / Stockist) Yes No

5. Have you ever used Silkscreen Stencils? (Agents / Stockist) Yes No

6. Do you have a physical shop, online only or both? (Stockists Only) Yes No

7. Do you host workshops, if yes please elaborate? (Agents / Stockist)

8. How do you plan on marketing Silkscreen Stencils? (Agents / Stockist)

9. Shop Name (Stockists Only)

10. Facebook Link (Agents & Stockists)

12. Are You A Robot? *