PRODUCT REQUEST

About Your Products...

Please complete as much information as possible using the product form below. If you have any issues or questions with this product request form please email agency@locallife.com.au

Your Name

Business Name

PRODUCT 1 NAME/DESCRIPTION/PRICE

PRODUCT 2 NAME/DESCRIPTION/PRICE

PRODUCT 3 NAME/DESCRIPTION/PRICE

PRODUCT 4 NAME/DESCRIPTION/PRICE

PRODUCT 5 NAME/DESCRIPTION/PRICE

PRODUCT 6 NAME/DESCRIPTION/PRICE

PRODUCT 7 NAME/DESCRIPTION/PRICE

PRODUCT 8 NAME/DESCRIPTION/PRICE

PRODUCT 9 NAME/DESCRIPTION/PRICE

PRODUCT 10 NAME/DESCRIPTION/PRICE

Please upload your product images here: jpg or png file types only. Max of 10 files (IMPORTANT, PLEASE LABEL THE IMAGES WITH THE PRODUCT NAME SO THEY CAN BE MATCHED UP WITH THE ABOVE FIELDS.