Wholesale Application Form

All wholesale applicants are deemed to have read and agreed to our Retailer Sales Agreement. Please read this agreement prior to sumbitting your application.
After submitting your application, you will need to create a customer account.
Once the form is received, we take 3-5 business days to assess whether your store is a good fit for our brand and products. You will be notified of the outcome by email, and if successful, your default customer account will be converted to a wholesale account.

Apply for a Wholesale Account

Applicant Name

Applicant Phone Number

Applicant Email

Business Name

ABN

Street Address

Postal Address

Website

Instagram

Facebook

Please list any other active social media accounts

Please tell us about your business alignments with the Lemonade Planner brand

agree

I agree to the Retailer Sales Agreement

auth

I have the authority to make this application on behalf of the named business