*COVID NOTE: To allow our longtime retailers an opportunity to reopen under the best conditions possible, we are currently only approving new accounts that have a brick and mortar location. If you are an online-only shop, please check back with us sometime soon!

interested in becoming a lilleknappen retailer? please read our terms & conditions here, and complete the form below!

*minnesota shops must submit a minnesota resale certificate in addition to the wholesale account form. please send completed form to lilleknappen@gmail.com

Tell us a little about your business!

Business Name

First Name

Last Name

Primary Purchasing Contact

First Name

Last Name

phone

(###)

###

####

fax

(###)

###

####

Shipping Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Billing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Primary Email

ownership

sole proprietor

corporation

partnership

llc

fed tax id

state tax id

state issued

website

http://

list us as a retailer on lilleknappen.com

yes

I (we) understand that the information written by you on this form is said to be true and accurate

Print Name

*COVID NOTE: To allow our longtime retailers an opportunity to reopen under the best conditions possible, we are currently only approving new accounts that have a brick and mortar location. If you are an online-only shop, please check back with us sometime soon!

LILLEKNAPPEN INC.