Wholesale/Trade Account Request

Wholesale/Trade Account Request

Application to Join LBE Design's Wholesale or Trade Programs
Company Name*
Website URL*
Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Your Name*

First NameLast Name
Your Email*
example@example.com
Your Phone Number*

Area CodePhone Number
Your role in the company*
Type of Business*

Architect/DesignerRetail Plant StoreRetail Design StoreNursery/ Garden CenterOnline SellerOther
Please provide additional information on your business
EIN or VAT Tax ID Number
Please upload your Reseller Certificate

Browse Files
Only Required for States that collect Sales Tax Cancelof
Should be Empty: