First Name
Last Name
Email Address
Phone Number
Time Zone Eastern (EST/EDT)Central (CST/CDT)Mountain (MST/MDT)Pacific (PST/PDT)Other
Street Address
Apartment / Suite (optional)
City
State / Province
ZIP / Postal Code
Country
Breaker / Channel Name
Streaming Platforms (check all that apply) TwitchYouTubeFacebookInstagramTikTokDiscordWhatNotOther
Primary Platform Handle / URL
Approximate Follower Count 0-100100-500500-1,0001,000-5,0005,000-10,00010,000-50,00050,000+
Content Niche / Specialty Sports CardsSports MemorabiliaPokémonMagic: The GatheringYu-Gi-Oh!One PieceFunko PopsComicsGeneral Trading CardsGeneral CollectiblesOther
Experience Level in Industry Beginner (0-1 year)Intermediate (1-3 years)Experienced (3+ years)
Tax ID / EIN (if applicable)
Resale License YesNo
Resale Certificate (PDF or image)
Estimated Total Past Purchases $0 - $500$500 - $1,000$1,000 - $2,500$2,500 - $5,000$5,000 - $10,000$10,000+
Past Purchase Frequency WeeklyBi-weeklyMonthlyOccasionallyFirst Time Buyer
Company Name
Contact Name
Relationship to You Supplier/DistributorFellow Breaker/PeerBusiness PartnerOther
Email
How long have you worked with them? Less than 6 months6-12 months1-2 years2+ years
Authorization (Required) I authorize L2 Global to contact the references listed above to verify my business history and payment practices.
Estimated Monthly Order Volume $0 - $250$250 - $500$500 - $1,000$1,000 - $2,500$2,500 - $5,000$5,000+
Confidence in Projection Low - Just an estimateMedium - Fairly confidentHigh - Very confident
How did you hear about L2 Global? Referred by someoneSocial MediaSearch EngineIndustry Event/ConventionExisting CustomerAdvertisementOther
If referred by someone, please provide their name
Preferred Contact Method EmailPhoneText
Additional Comments or Special Requests
Certification (required) I certify that the information provided in this application is true and accurate to the best of my knowledge. I understand that any false information may result in denial or termination of services.
Applicant Signature
Date
