First Name *

Last Name *

Email *

Phone Number *

Business Name *

EIN # *

Business Website *

Company Address *

What best describes your business? *

How many stores do you have? *

Business Permit/License

Please supply a business license or permit that corresponds to the business address or corporate address listed on this application *

Choose file or drag here

Supported formats: pdf, jpg, jpeg, png

Resale License

We are required by law to obtain a Resale License, Seller's License, Sales & Use Tax Permit, or Certificate of Authority for businesses operating within FL, TX, WA, PA, UT, CA, and NY. For all other states, please supply a resale license if you would like to make tax-exempt purchases of our product *

Choose file or drag here

Supported formats: pdf, jpg, jpeg, png

Image of your store interior *

Choose file or drag here

Supported formats: jpg, jpeg, png

Image of your store exterior *

Choose file or drag here

Supported formats: jpg, jpeg, png

I agree to the Terms and Conditions *

I have read and agree to the Laird Superfood Reseller Terms of Use *

Thank you for getting in touch!

We appreciate you contacting us. One of our colleagues will get back in touch with you soon!

Have a great day!

Thank you for getting in touch!

We appreciate you contacting us. One of our colleagues will get back in touch with you soon!

Have a great day!

Wholesale Application

Business Permit/License

Resale License

Thank you for getting in touch!

Thank you for getting in touch!

Laird Superfood Inc. Wholesale Application Form