Private Label & Dropship Program Registration

Lapis Teahouse

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To establish your company as a private label and / or drop-ship client with Lapis Teahouse, please fill out and submit the information below!

Your Name: *

Contact Phone Number: *

Email: *

Billing Address *

Business Name (as it is to be printed on labels): *

Business Address (City, State, Zip - as for labels): *

Website URL (as for labels - optional):

Phone Number (as for labels - optional):

Label Style *
Template 1 - vertical
Template 1 - modern
Template 1 - clean
Template 1 - earthy

Logo file (for top round label - optional, should be 300dpi, with transparent or white background):

What program are you interested in: *
Dropship Only
Private Label / Retail
Both

Where will you be selling products: *
Online Store
Paper Catalog
Retail Store
Combination of above

DROPSHIP PROGRAM ONLY - Your UPS account number (to bill shipping charges for your product sales):

[DROP-SHIP CUSTOMERS ONLY: After submitting the form, you will be directed to sign up for the monthly subscription payment for the drop-ship program. This covers your account maintenance costs, and is billed separately from the cost of products that will be drop-shipped for your account. You must be signed up for the monthly subscription to have an active drop-ship account.]