Skip to content
Sign in
or
open an account
Search for:
Search for:
Working Together
Products
Brands
Capabilities
About
Contact
Catalogues
Working Together
Products
Brands
Capabilities
About
Catalogues
Contact
Sign in
Open An Account
Search for:
t3$t103591
2026-07-23T15:09:03+12:00
Test Form - Wholesale Application
Your Company
Registered Company Name
(Required)
Trading As
(Required)
Company Website
If you have a website, add it here
NZ Business Number
(Required)
What year did you begin trading?
(Required)
Are you registered for GST?
(Required)
Yes
No
Delivery Address
Attention:
Business Name
Street Address
Suburb
Postcode
City / Town
Country
New Zealand only
Postal Address
Postal address
Postal address is the same as delivery address
Name
Street Address
Suburb
Postcode
City / Town
Country
New Zealand only
Primary Details
Primary Email
(Required)
This is the primary email address we will use for communications including order confirmations and the default web portal login unless otherwise specified below.
Primary Phone
(Required)
Web Portal Login Email
Leave blank if same as primary email.
Order Confirmations and Tracking Email
Email is the same as primary
Order Confirmations and Tracking Email
Invoices Email
Leave blank if same as primary email.
Statements Email
Leave blank if same as primary email.
Primary Contact
First Name
(Required)
Last Name
(Required)
Title / Position
DDI
Mobile
Email
(Required)
Director(s) / Owner(s)
Director is the same as primary contact
Director is the same as Primary Contact
First Name
(Required)
Last Name
(Required)
Title / Position
(Required)
DDI
Mobile
(Required)
Email
(Required)
Accounts
Accounts info is the same as primary contact
Contact is the same as Primary Contact
First Name
(Required)
Last Name
(Required)
Title / Position
(Required)
DDI
Mobile
(Required)
Email
(Required)
Payment Details
Preferred Payment Method
(Required)
Direct Debit
Direct Credit (Bank Transfer)
Credit Card
Would you like to apply for credit?
(Required)
No
Yes - Apply 20th Month Following
General
Business Type
(Required)
Industrial Food
QSR & Franchise
Plant Bakeries
Food Service Distributors
Specialty Cake Supply
Specialty BBQ
Specialty Grocer
Cake Shops & Bakeries
What best describes what your business does?
(Required)
How will you place your orders?
Web Portal
Email
Other
What type of products are of interest?
Retail
Commercial
Industrial
What products are of interest?
Ingredients
Packaging
Cake Decorating
Sprinkles & Toppings
Rubs & Sauces
Gifting
What brands are of interest?
GoBake
Chocolate Brown
The Remarkable Chocolate Co.
The Sprinkle Factory
Lone Star
Al Brown
Rufus Teague
Ottolenghi
Hunters Gourmet
Valley Produce Co
Have you been in contact with someone already from Sweet Moments Group? If Yes, Who?
What is driving you to open an account with us?
Who do you currently buy from and what is your typical order value?
What level of monthly purchases do you expect to make with us?
Below $500
$500 - $1000
$1000+
Do you require any further information?
How did you hear about us?
(Required)
Have you held an account with us before?
Yes
No
Unsure
Terms and conditions
(Required)
I/We have read and agreed to the terms and conditions and confirm that the above information is true and correct and that I/We have the authority to sign this application to become a valued customer of Sweet Moment Group Ltd. Full Terms & Conditions are available on request.
CAPTCHA
Page load link
