Bookstore Application Form

LLC Program for Independent Bookstores

To apply for the Lavish Loves Communities Program, please complete all questions.
Contact Person's Name*

First NameLast Name
Name of the Bookstore
Address of the Bookstore*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Shipping address for all packages from us*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Contact Person's Email*
Contact Person's Phone Number*

Area CodePhone Number
Bookstore's main number*

Area CodePhone Number
What type of books do you offer?*
How were you referred to us?*
Be sure you have signed up for the newsletter here >> Lavish Loves Bookstores Newsletter
Enter the word to signify this information is correct and you intend to be a member of the LLC Program*
Should be Empty:

LLC Program for Independent Bookstores