Trade/stockist registration

Thank you for your interest in becoming a Mariana stockist.
Please fill out the form below and one of our friendly staff will contact you as soon as possible.

First Name is a required field.

Last Name is a required field.

Phone is a required field.

Company Name is a required field.

ABN / ACN is a required field.

Type of Business is a required field.

Operating (in years) is a required field.

Country is a required field.

Address 1 is a required field.

City is a required field.

State is a required field.

Postcode is a required field.

Products you stock is a required field.

Please note that all stockist registrations undergo a manual approval and activation times may vary. However, your account should generally be activated within 5 working days. Please contact stockist@mariana.com.au for any questions or queries.