lani enterprises

shop registration

This is an application for wholesale buyers only. It will be reviewed and replied to with wholesale access information. If you have any questions, please contact us at idzynm@aol.com

First Name

Last Name

Phone Number

Resale License/Tax ID, California Only

Type of Store

Website (if you have one)

Business Name

Billing Address

Billing Street

Billing City

Billing Zip

State

Shipping Address

Click here if your shipping address is the same as the billing address.

Shipping Street

Shipping City

Shipping Zip

Shipping State

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