Distributor Application Thank you for your interest in becoming a Lammily distributor! Please fill out the application below and we will contact you with more information. Email* Enter Email Confirm Email Name* First Last CompanyPhoneAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Type of Company* Web Retailer Retailer Distributor If Distributor, where will you distribute?Consent*I ACKNOWLEDGE BY SUBMITTING THIS FORM THAT I HAVE READ, UNDERSTAND, CONSENT AND AGREE TO THE FOLLOWING TERMS, COVENANTS AND CONDITIONS: Lammily has the absolute right to terminate this Dealer Agreement at any time should Dealer violate any of its terms or conditions. As a Lammily product dealer, I acknowledge and agree that I will not sell to National Toy Retailers. If there is any question about whether a customer is a "National Chain," I will first contact Lammily for clearance. Dealers must order a minimum of 24 units per order to qualify for wholesale pricing. Dealer must have a physical retail location and must physically inventory Lammily products. No sales of Lammily products shall be permitted online. This includes Ebay, Amazon and other auction sites. Keyword bidding and sponsored links are not permitted for Lammily products. Dealers must adhere to Lammily MAP pricing. Prior to final dealer approval, I will fill out and submit a written dealer application complete with Credit Card information. The first order will be pre-paid. On subsequent orders, should credit terms be granted, I authorize Lammily to automatically charge this card for the full balance due if my account becomes more than 60 days in arrears.I agreeNameThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle AJAX powered Gravity Forms.