Retailer Information

Please fill in your details below to receive retailer information.

Outlet details
Outlet name:		Type of outlet:
Address:			(Shop, Stall, Hotel...)
Town:
County:
Postcode:
Are you VAT registered?:	Yes No
Contact Details
Title:	Mr Mrs Miss Ms
First name:		Surname:
Position:
Telephone:		Email:
Merchandise Interest
Which of the following Clay merchandise would you be interested in stocking?
Books    Postcards    Ceramic Mugs    Plastic Cups    Baseball Caps    Children's T-shirts    Original Book Art    Limited Prints    Enamel Badges
Other: (Please specify)
Please state likely volumes required
Sponsorship
Would you be interested in sponsoring a Clay activity? Yes No
Book Signings and Clay attendance
Would you be interested in hosting a book signing or Clay attending an event? Yes No