Supplier Application

Supplier Application Form

Please provide us the information below to begin your sign-up

Name*

First Name

Last Name

Email*

Phone*

Company Name*

Company Address*

Address Line 1

Address Line 2

City

ZIP / Postal

Country*

State*

Province*

Company URL*

Please provide proper URL formatting - Example: https://www.lightspeedhq.com

What region(s) do you sell in?*

US Canada Netherlands France Germany UK Australia

Other:

How many retailers do you currently sell to?*

1-25 25-100 100-250 250-500 500-1000 1000+

What software do you use to manage Purchase Orders?*

Shopify URL*

i.e. store.myshopify.com

Magento URL*

i.e. store.magento.com

BigCommerce URL*

i.e. store.bigcommerce.com

WooCommerce URL*

i.e. store.woocommerce.com

Other/Custom URL*

i.e. store.customintegration.com

How did you hear about the Lightspeed Supplier Network?*

I was invited by one of my Retailers I was invited from an association I heard about it from another Supplier I received an email invite from Lightspeed I received an email invite from Convictional I read about it on the news I saw an ad

Other:

Choose the association:

Additional Comments

By clicking Submit Form, you agree to both our

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