LOLA for Business Survey
 
 
In order to become a registered business customer with LOLA, please complete the survey below.
Required FieldWhat is your first name? 
Required FieldWhat is your last name? 
Required FieldWhat is your email address? 
Required FieldWhat is the name of your business? 
Required FieldHow would you describe your business? 
What is your job title? 
Required FieldAre you a wholesaler, distributor or janitorial company? 
Required FieldAre you interested in reselling LOLA? 
Required FieldDo you want to order for multiple locations? 
Required FieldApproximate # of individuals in your space daily? 
Address line 1 
Address line 2 
Address line 3 
City 
State 
Zip/Postal Code 
Required FieldCountry 
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150 W. 22nd St. Suite 500 New York, NY 10011
business@mylola.com