One Islam Online Store

Distributor / Reseller Application Form

Become a distributor of our world popular products at your shop, organisation, school or mosque. Our distributors receive promotional materials with their orders to assist in distribution, depending on their level of distribution. Simply fill out the application form below.

To speed up your application, please complete all sections of the form & provide as much detail where possible. Fields marked with a * must be filled in.

Company / Organisation:
* Name:	Title: Mr MrsMiss
Street:	* Suburb/City:
Postcode:	* State: * Country:

* Please identify the products you are interested in (tick where applicable):

MULTIMEDIA

Educational films
Prayer DVD

Children's DVDs
Story Time Series
We Remember Allah

Documentaries
Islam for the World
Harun Yahya

Movies
The Message
Lion of the Desert

Nasheed Audio CDs

Lectures
Khalid Yasin
Yusuf Estes
Bilal Dannoun
Bilal Philips
Sheikh Feiz
Imran Hosein
Yvonne Ridley
Yusuf Islam
Tariq Swaidan
Shaker Elsayed
Muhammad Alshareef
Muhammad Gibreel
Abdul Basit Abdul Samad
Ahmed Deedat

MERCHANDISE

1 Islam
Caps
Shirts Long-sleeved
Shirts Short-sleeved

Treasure Uncovered
Caps
Shirts Long-sleeved
Shirts Short-sleeved

Story Time
Caps
Shirts Long-sleeved
Shirts Short-sleeved
Vests
Water bottles

* Are you interested in (for above lecture selections):
DVDs only	Audio CDs only	Both DVDs & CDs

* Please provide an estimation of the quantity per title you will order:
1-5	6-20	21-50	51-100
101-500	501-1000	Over 1000

* Please estimate the frequency of orders:
One off	Weekly	Fortnightly
Monthly	Quarterly	Yearly

* Please provide a brief description of your organisation (if applicable), eg, date of establishment, products currently distributed, link to your website, distribution plans, etc. If you are not part of an organisation, please provide a brief description of your distribution plans, or any other information that may be helpful in processing your application.


Please provide your contact details:
* Email Address:
* Phone:
Mobile:
Fax: