Thank you for considering LYT Distribution for your purchase! Kindly complete the application form below and submit it. We will reach out to you within 24 hours. Name Business Name Phone Number Email Billing Address City State / Province Postal / Zip Code What Type of Business are you? Retail Store E-commerce Brick and Mortar Other (please specify in notes below) Monthly Budget? Website URL Notes Applying as a Supplier or Wholesaler?" Supplier Wholesaler Reseller Permit Copy I agree to terms & conditions Terms & Conditions: All information collected is confidential. No payment information is kept on file; all invoices are payable online through a secure site (if paying by check, please inform us). The first order is payable immediately." SUBMIT