Dealer

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Dealer

Create an Account

Fill out all the fields below with your store location and contact information. Once completed, click Submit. Lane will send you an email confirming the status of your account setup and if it has been approved or denied. If you have any questions, feel free to contact us.

Registering As *

First Name *

Last Name *

Role/Title *

Phone Number *

Email Address *

Retailer First Name *

Retailer Last Name *

Retailer Billing Address *

City *

State *

ZIP Code *

Retailer Shipping Address *

City *

State *

ZIP Code *

Bill To Number *

Sales Rep Number *

Content If you are not sure about your Sales Rep Number, you can provide information below from an invoice in the last 6 months.

Invoice Number *

Invoice Amount *

I verify I am a certified representative of the above listed company and I am authorized to act on behalf of this company. *

Captcha *