Retailer Application for Additional Location

Applications for Additional Business Location’s are Subject to Approval by Miss Lillian’s NO WAX Chock Paint to ensure territory protection. This form is only for Current Miss Lillian’s Retailer wanting to apply to carry Miss Lillian’s Paints and Products at an additional location.

Additional Locations are subject to Miss Lillian’s Terms and Policies.  Please review these Terms and Policies and if you have any questions, please contact Miss Lillian’s via email: [email protected]

Please Complete the Retailer Application Form

* indicates required
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Store Type *