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  Designer's Registration Form  
     
 

FIRST NAME:

LAST NAME:

BUSINESS/BRAND/LABEL NAME:

IS THIS A PARTNERSHIP?
If yes, please supply partner's name(s).:

Yes No 

BUSINESS ADDRESS:

CITY:

STATE:

POSTCODE:

PHONE:

FAX:

MOBILE:

E-MAIL:

MANUFACTURING UNIT ADDRESS:

COLLECTION TYPE (Please select one) :

COLLECTION CATEGORY :

 

 

 
 
     
 
 

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