RESELLER REGISTRATION FORM

Welcome to Lushplant Authorized Reseller Registration

Kindly fill out the form below and a member of the team will be in touch shortly!

First Name *

Last Name *

Email *

Phone *

Username *

Password *

Company Name *

Company Website *

Country *

Address 1 *

City *

State *

Postcode *

Years in Business *

# of Store Locations (if online only, enter zero) *

Main Store Location City (if online only, enter zero) *

Tell us a little about the nature of your business, products, target audience, goals and why you think we are a good fit for each other *