WHOLESALE APPLICATION:

PLEASE FILL OUT YOUR INFORMATION BELOW:

Name

First Name

Last Name

COMPANY NAME:

Resale Tax ID:

Email:

Phone:

(###)

###

####

Billing Address:

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Shipping Address:

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Thank you so much for applying to Lovelier By Mal’s wholesale program. You will receive a notification when your application is approved. Please send a copy of your sales certificate to malnewton@lovelierbymal.com to complete the approval process.