B2B wholesale onboarding form

Lenox B2B Onboarding

New Wholesale Account Application

Revised 8/26

⚠️ Important: Please read through the entire application to be sure you have all mandatory information and any attachments ready to upload before proceeding, as your information will not be saved.

Business Information

Legal business name *

DBA (if applicable)

Business type *

Phone number *

Fax number *

Website URL

Primary email address *

Business Addresses

Primary Business Address

Address line 1 *

Address line 2

City *

State / province *

ZIP / postal code *

Country *

Billing Address

Billing address same as primary business address

Billing address line 1

Billing address line 2

Billing city

Billing state

Billing ZIP / postal code

Billing country

Same as Billing Address

Primary Shipping Address

Shipping address line 1

Shipping address line 2

Shipping city

Shipping state

Shipping ZIP / postal code

Shipping country

Upload Additional Shipping Addresses

Drop files here or click to upload

Key Retail Contacts

Buyer contact name *

Buyer contact email *

AP contact same as Buyer

AP contact name

AP contact email *

Invoice account contact same as AP

Invoice account contact name *

Invoice account contact email *

B2B Access Contacts

Add up to three B2B access contacts.

Contact 1 name

Contact 1 email

Contact 2 name

Contact 2 email

Contact 3 name

Contact 3 email

Account Information

Products / brands of interest

Request for brand/licensing selection:

Disney

Kate Spade

Ordering, Shipping & System Setup

Tax & Compliance

Federal EIN

State tax ID

Tax Exemption Required?

Yes

You will be charged sales tax until we receive and process your tax exemption certificate. Sales tax will not be refunded.

Payment Options

Credit Card

Net 30 (Minimum $15k annual)

Trade References (For Net Terms)

Reference 1

Company name

Phone number

Reference 2

Company name

Phone number

Reference 3

Company name

Phone number

Agreement & Authorization

By signing below, the retailer certifies all provided information is accurate and authorizes Lenox Corporation to establish account access, verify references, and activate ordering credentials.

Authorized signer (type your name) *

Job title *

Date *