CUSTOMER REGISTRATION REQUEST

CUSTOMER REGISTRATION

FOR DISTRIBUTORS & INSTALLERS

Please fill out the form below to register your interest in gaining access to Polaris price lists for Distributors and Installers.
Once your registration has been approved, we will contact you with your login details.

CONTACT INFORMATION

NAME *

First

Last

BUSINESS NAME *

ABN

EMAIL *

PHONE *

BUSINESS ADDRESS *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

BUSINESS INFORMATION

BUSINESS TYPE (Select your business type from the dropdown). *

ESTIMATED ANNUAL USAGE OF PAIRS OF POLARIS HINGES *

INDUSTRY *

WEBSITE / URL

FACEBOOK LINK

INSTAGRAM LINK

MESSAGE or ADDTIONIAL INFORMATION

CUSTOMER REGISTRATION

HEAD OFFICE AUSTRALIA
Polaris Hinge – Glass Hardware Australia Pty Ltd
Phone +61 2 8753 0244
Address

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CUSTOMER REGISTRATION

HEAD OFFICE AUSTRALIAPolaris Hinge – Glass Hardware Australia Pty LtdPhone +61 2 8753 0244Address

HEAD OFFICE AUSTRALIA
Polaris Hinge – Glass Hardware Australia Pty Ltd
Phone +61 2 8753 0244
Address