Business Information
Name
*
First Name
Last Name
Business / Organization Email Address
*
Business / Organization Name
*
Business Contact Position
*
Owner
Manager
Teammate
Other
Business Street Address (Only Accepting Partners Located in the U.S.)
*
Street Address 1
Apt/Building #
City
State / Province
Zip / Postal Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Business Website
*
Preferred Phone Number
*
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Community Context
How’d you first learn about LMNT? What role does it play in your health today?
*
Which of these best describes your business/organization?
*
Cafes, Coffee Shop, Juice & Smoothie Bars
Fitness/Gym
First Responder & Military
Gas Station/Convenience Stores
Grocery & Health Stores (Natural Grocer, Supplement Store, Nutrition Shop)
Health Practitioner (Chiropractor, Naturopath, PT, Massage, Acupuncture)
Lodges/Resorts/Hotels
Non-Profit or Business Organization
Pharmacies/Gift Shops
Recreation & Country Clubs/Pro-Shops
Spa/Sauna Studio/Cryotherapy
Specialty Retail (Running, Cycling or Sports)
Sports Team (Professional, High School, Collegiate, Youth)
Other
Is your business a physical store or an officially registered organization? (Online businesses are not eligible)
*
Yes
No
How do you plan to use LMNT within your business/organization?
*
I want to resell LMNT at my physical location
I do not want to resell LMNT. I want to purchase at preferred pricing to offer to my employees or team
Video Submission (less than 1 min) - RESALE: Please submit a selfie-style video introducing yourself and show us where you plan to display and sell LMNT within your physical location. NON-RESALE: Please submit a selfie-style video introducing yourself and how your team or organization plans to use LMNT.
*
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Choose a file
Please note, LMNT does not allow online sales.
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of
How many locations does your business have?
*
Please Select
1
2-5
6-10
11-50
51+
If your business has multiple locations, please share more details.
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Logistics
Please share your social handles for your business (Instagram, etc.)
*
Tax ID
*
Do you qualify for tax exemption?
*
Yes
No
Check yes if you'd like to opt-in to receive free marketing materials and product samples for your location.
Yes
Check yes if you'd like to share your location as part of our store locator list.
Yes
How'd you first learn about the LMNT Partner Program?
I heard about it via LMNT's email or Instagram
LMNT supported an event that I hosted or participated in
The LMNT Community Team sent me samples and shared information about the program
I was referred by another wholesale partner
A friend or coworker told me about it
I received information via LMNT's Give a Salt program
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