Wholesale Application

First Name*

Last Name *

Email Address*

Company Name*

Yes, I have a storefront! (LYM Wholesale requires a store/boutique to have a storefront)

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Country

Phone Number*

Website*

Preferred Social Media Handle*

Terms and Conditions | Privacy Policy

I have read and agree to the terms and conditions

Notable terms (no online sales, list price at MSRP or above, payment on shipment required)

By submitting this form, you agree to having the LYM Wholesale Team contact you via email regarding the status of your application

Wholesale Application

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