Wholesale Account Application

Are you interested in carrying Loulou LOLLIPOP items? Fill out the form below and we will get back to you shortly.

*COMPANY NAME

*CONTACT NAME

*EMAIL

PHONE NUMBER

*STORE ADDRESS

*City

*State

*Zipcode

*WEBSITE or FACEBOOK PAGE

*HOW DID YOU HEAR ABOUT US?

*TELL US ABOUT YOUR SHOP