Miss Lillian’s Retailer Application Form

Thank you for your interest in becoming a Miss Lillian’s NO WAX Chock Paint Retailer. Please complete this application in full. We will review your information provided and check to see if there is availability in your area. Please provide the physical street address (No P.O. Boxes please) of the location of your business.  MUST provide either a Facebook Business Page or Website.  Please allow up to 2 business days for review!

Please Complete the Retailer Application Form

* indicates required
Store Type *
Do you currently carry another Paint Line? *