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

City State

Zip Code Country
Your Name *

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

Area Code Phone Number
Your role in the company *
Type of Business *

Architect/Designer Retail Plant Store Retail Design Store Nursery/ Garden Center Online Seller
Please provide additional information on your business
EIN or VAT Tax ID Number
Please upload your Reseller Certificate
Only Required for States that collect Sales Tax
Should be Empty: