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New Wholesale Account Application

LupineThank you for your interest in LüSa Organics! We are currently accepting applications for new wholesale partnerships.

Important: In order to apply for a wholesale account with LüSa, you must first have a customer account.

Create a customer account now

After you have created a customer account, fill in all requested information below, then click the SUBMIT button.

LüSa will contact you within 3 to 4 business days to confirm your approval status.

Business Name:

Business Type:
other (please specify):

Contact Person:

E-mail Address:

NOTE: E-mail address submitted above must match e-mail address used in your customer account registration.

Telephone Number:

Resale Exemption Tax ID Number:   * REQUIRED

NOTE: This is required for wholesale account approval for Wisconsin customers. This number, aka Sales Tax Account Number, is on your Wisconsin Reseller's Permit. It is NOT your EIN#.

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