Trade and Commercial Form

Billing Information

Shipping Information

(Leave empty if same as billing info)
Note: We cannot ship to PO Boxes

Store Information

Accounting Department

Please provide details below of the person responsible for A/P:

Billing Information

Step 1/4

First name *

Last name *

Company

Full address* *

Apartment, suite, etc. (optional)

City* *

Country/Region* *

Province/State/Region *

Postal code* *

Email *

Phone *

Company *

First name *

Last name *

Company

Full address* *

Apartment, suite, etc. (optional)

City* *

Country/Region *

Province/State/Region *

Postal code* *

Note: Our Shipping service does not deliver to P.O. boxes.

Are you already a Luxe Loungers reseller? *

Store trade name *

Legal name *

Sales tax or resale number *

Federal tax id number *

Are you brick and mortar or an e-store *

Physical address of each location if you intend to carry our line there *

Number of Years in Business *

Days and hours of operations *

What is your web address? *

Where did you hear about us? *

Primary type of business: *

Primary type of business:

Furniture Store

Gift Store

Home Accessories

Spa/Hotel

Interior Design Showroom

Interior Design (commercial)

Interior Design (residential)

Other (please explain)

Name *

Phone *

Fax

Email *

Please note that we will respond to you within 48 hours to confirm your application. If you have any additional questions please email us at [email protected].
We appreciate your business and look forward to working with you!
All the best,
The Luxe Loungers Team
Your personal data will be used to support your experience throughout this website, to manage access to your account, and for other purposes described in our privacy policy.

Note: Our Shipping service does not deliver to P.O. boxes.

Order products

Order Total (The sum of all the prices of all the items in the order, taxes and discounts included.)

Contact information

Shipping address

Billing address