Reseller Registration

Thank you for your interest in LumaSoothe!

All fields / sections marked with * are required!

Full Name: *

Are you a robot?

Company Name: *

Email Address: *

Phone number: *

Website *

Business Address: *

List Company Social Media Profiles *

How did you hear about LumaSoothe? *

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Where and How do you intend to sell LumaSoothe? *

-Please list all methods/marketplaces

California Resellers:
CALIFORNIA RESELLERS MUST PROVIDE A COPY OF THEIR CALIFORNIA RESELLERS PERMIT. (This can be done at a later date)

Verify you're human:

If you have any questions, comments please contact us!