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Apply to become a Briarwood Lane Authorized Retailer

Thank you for your interest in becoming a Briarwood Lane Authorized Retailer.

Please carefully fill out the application below to tell us more about your business. Most applications are reviewed and approved within 3 business days.

If you have any questions about the application process or our products, please don't hesitate to contact us.

Email Address Required

Password Required

Confirm Password Required

Business Type Required

Annual Revenue

Salesperson

Website Address

Briefly describe your business and/or primary distribution channel

How did you hear about us?

Are you able to receive pallet shipments to your location? Required

Aquisition

preorder

First Name Required

Last Name Required

Company Name Required

Title

Tax ID Required

Phone Number Required

Address Line 1 (Please note - We cannot ship to PO Boxes) Required

Address Line 2

Suburb/City Required

Country Required

State/Province Required

Zip/Postcode Required

Address Type Required

PLEASE NOTE: By submitting this application, you agree to abide by our Terms & Conditions.