Dealer Application

Please complete the form below and fax a copy of your resale license to 480-275-3555. We will review your information and once your company has been approved, we will contact you with detailed information on becoming a dealer and adding our products to your collection. Please note, orders will not be shipped until we have received a copy of your resale certificate. We look forward to working with you!

* Store Name:
* Type of Store:
* Number of Store Locations:
* Tax ID Number:
* Years In Business:
* Store Address:
* City:
* State:
* Zip:
* Phone:
Fax:
Describe your company/services and let us know why you are interested in carrying Lipstick Shades!:
* Do you do your own custom printing for clients?
Which products are you interested in carrying? (select all desired): Imprintables
Designer Clipboards
Canvas Wall Art
* How did you hear about us?
* First Name:
* Last Name:
* Position in Company:
* Email Address:
Website Address:

* Required Field