Lifetime International Inc. Whole Sale Purchasing

Wholesale Purchasers

fax: 646-330-5077	Attention: Lifetime International Inc. ~Wholesale Dept.~
* Contact Person:
* Company Name:
* Address:
* City:
* State:	* Zip:
* Telephone:
* Telephone:	Extension:
* Fax:
* Cell Phone:
* E-Mail:
* Web site:
*Industry/Specialty:
*Industry/Specialty:	Years in Business:
* Federal Tax Id:
*Authorized Signature
*Authorized Signature	Date:

Information About Lifetime International

You will need to

1) Fill out the above form online
2) highlight, and print the form area that is filled out.
3) Submit this form through fax to our number below.

To: Lifetime International Inc.
Re: Whole Sale Applications
fax: (646) 330-5077
68 Sylvan Pl, Valley Stream, NY - 11581

***Please state in a cover sheet,
at which number and hours you may be contacted at.




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