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LSC Retailer Sign-Up
Please complete this form with a retailer present. Confirm information and submit to begin process of registering a retailer for wholesale.
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* Indicates required question
Email
*
Your email
Sales Person
*
Bennett
Ellen
Mike
Other:
Business Name
*
Your answer
D.B.A. Name (if different)
"Doing Business As"
Your answer
Business Address
*
Your answer
Business City and State
*
Your answer
Business Phone #
Your answer
Buyer (Contact) Name
*
Your answer
Buyer Email
*
Your answer
Buyer Phone #
Your answer
Business Type
*
Convenience Store
Discount Retail
Department Store
General Retail
Grocery
Health and Wellness Services
Hotel/Hospitality
Outlet/Specialty
Salon/Barbershop
Warehouse
Other:
Tax ID #
*
Please provide a tax ID number to have tax excluded from your purchase (enter NA if not Tax ID is applicable)
Your answer
Accept MSRP?
*
We suggest all retailers use a MSRP of $7 for each bar of our soap and shampoo bars, $6 for our bath bombs.
Yes
No
Products of interest?
Soap Bars
Bath Bombs
Shampoo Bars
Would you like signage?
*
Yes; 8.5 x 11 (Free Digital Copy)
Yes; 3.5" x 3.5" retail branded cards (50 Free Print Copies)
Yes; Both options of signage
No
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