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**PLEASE COMPLETE AND EMAIL TO INFO@LRDIST.

COM
If approved, we will contact you with next steps

Customer Name

ALEX smith
First Last

Company Name

Shanzen Enterprises LLC

Address

Registered Agents Inc 30 N Gould St Ste R Sheridan, WY 82801

30 N Gould St Ste 28759 Sheridan, WY 82801

Cheyenne WY : Wyoming 82001


City State Zipcode

Phone Number E-mail


03109765060 ShanzenEnterprisesLLC@proton.me

Brick & Own


1. Where would you sell products purchased from L&R Distributors ✔ Online Mortar Website

a. If Online, do you sell on Amazon, Ebay, Walmart.com Yes

b. Please provide the link to your storefront:

2. If your own website, what is the web address no

3. If you have a brick and mortar location, what is the address

4. What is the anticipated dollar amount in sales you will do monthly?

5. Is your business registered in the U.S.? Yes

6. Do you have your own warehouse? If so, what is the address no

7. What are the primary categories you are looking to purchase: ✔ Cosmetics Skin Care ✔ Baby ✔ Pet
Stationery ✔ Haircare ✔ Housewares ✔ Hardware ✔ Personal Care Hosiery Appliances ASOTV

8. How did you hear about us: referred by vendor, word of mouth, other? goody

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