Home > Wholesale > Dealer Application
​
Dealer Application

Lillian Rose sells to authorized retail businesses.  Opening a resale business account is free and you will have no obligation to buy anything. We require a Resale Tax ID to verify your account as a resale business.

When we have processed the application and recognized your business as a Lillian Rose Reseller, we will issue you a username and password to access the wholesale portion of the Lillian Rose site.  By obtaining a username and password you will have access to wholesale prices, hi-res images, product information, online ordering and more.

If you are a retailer (dealer), please fill out the form below and submit your Resale Tax ID to get started and to receive a free catalog.

Current retailer (dealers) of Lillian Rose can email us, or phone us at (800)-521-8760 or (262) 363-5286 to receive a username and password.

Fields marked with * are required.

Bill To

* Store Name:




* Address:






* City:




* State: 


* ZIP / Postal Code: 


* Country: 


* Phone:


Fax:


Ship To

Same as Bill To: 


* Store Name:




* Address:






* City:




* State: 


* ZIP / Postal Code:


* Country: 


* Phone:


Fax:


General Information













 Proprietorship   

 Partnership   

 Corporation   

 Commercial     Residential   


























Are You Interested In The Following?

 Yes   

 No   




By submitting this application, I agree to the following Terms and Conditions of this Dealer Application:

I acknowledge that this application is submitted for the purpose of establishing myself as a dealer for products sold by Lillian Rose.  I acknowledge that if I am an on-line dealer I must still complete and abide by the Lillian Rose Website Guidelines (separate form).  Applicant is a legitimate retail business with a store front and/or retail website and resale tax ID number.  All answers are true and complete to the best of my knowledge.



Please enter the following code into the box provided: