Retailers Contact Form

Are you a retailer interested in carrying Lynn Chase?
Please fill out the form below so our National Sales Representative can contact you.

* Indicates required field

Name *

First

Last

Name of Store *

Email *

Daytime telephone number if you would like to be contacted by our National Sales Representative *

Store Address *

Line 1

Line 2

City

State

Zip Code

Country

Comment *

Submit