Apply to be a LĒVO retailer
Fill in the form below to be considered for wholesale.

Please note that in order to be approved, we will require proof of your Federal EIN and a copy of a current Reseller's Permit, Sales Tax License, or Business License in your state.
Sign in to Google to save your progress. Learn more
What is the name of your store or business? *
If you have a website, enter it here.
What is the address of your business? (Use flagship address if more than one location) *
How many physical locations do you have? Please note we do not allow online sales of our products. *
What is your estimated annual sales revenue? *
What is your full name? *
What is your email address? *
What is your phone number? *
What LĒVO products are you interested in carrying? *
Required
Provide any additional comments.
Submit
Clear form
Never submit passwords through Google Forms.
GoogleForms
This form was created inside of LEVO Oil Infusion, Inc..