Thank you for your interest in the Slick Lizard Design Authorized Reseller program. Slick Lizard Design requires all resellers to be approved to help ensure the integrity of our products and sales channels.

To apply, please complete the information below. We will review your information and will get back to you as quickly as possible. Once approved you will receive an email confirming your account information. Please note that if information is missing, incorrect or incomplete your application may be delayed or denied. From time to time we may require additional information to be submitted either by mail, fax or email. For questions regarding the application process please contact us here or call us directly at 516-541-1133.

Upon application approval, a store account will be created for you. After account details are emailed to you, you will be required to reset your account password.

    Legal Company Name (required)

    DBA (Doing Business As) (required)

    Tax ID/EIN*

    Corporate Address*

    City*

    State*

    Zip Code*

    Website*

    Authorized Contact Name*

    Authorized Contact Title*

    Authorized Contact Email*

    Phone Number*

    Please describe your business model: who do you sell to and what you sell.*

    What type of reseller do you consider your company?*

    Do you sell on one or more of the following marketplaces?* Please select all that apply.
    EtsyAmazoneBayOtherNone

    If OTHER, please specify URLs:

    Please describe your store(s) location*

    How many retail locations do you operate?*

    Please provide a complete list of store addresses*

    How did you find out about Slick Lizard Design?*