WHOLESALE APPLICATION

Please note: We are not approving new Amazon retailers at this time.

Phone: 1.888.352.0214 Option 2 or Email: wholesale@livonlabs.com

For International Inquiries: Please review our International Shipping Policy prior to completing an application to see if your country is listed under "Countries We Cannot Ship To."

* Denotes a required field

Minimum Purchase Requirement*:
48 cartons per year. Must purchase Lypo-Spheric® C and B in cases of 12 cartons.
Do you intend to meet this requirement?

Company Name* and DBA (if applicable):

Name of Owner/Partner/Officer:

Phone of Owner/Partner/Officer:

Billing Country*:
(see International Shipping Policy)

Billing Address Line 1:

Billing Address Line 2:

Billing City:

Billing State:

Billing Zip/Postal Code:

Primary Contact First Name*:

Primary Contact Last Name*:

Phone:

Email*:

Describe your business*:

Check box if you sell products within a physical location:

Verification code:

Please enter the code
you see to the left.