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Lippert Business Account Request Form

Get started with a Lippert Business Account today! Please provide all required information in the fields below to request a business account with Lippert. Once we receive your information you can expect to receive a message from our customer service team within 48 working hours on the next steps of your application. Thank you for your interest in doing business with Lippert.

Already have a Lippert account? Log in to access the Business Account Center and Business Store.

Get started with a Lippert Business Account today! Please provide all required information in the fields below to request a business account with Lippert. Once we receive your information you can expect to receive a message from our customer service team within 48 working hours on the next steps of your application. Thank you for your interest in doing business with Lippert.

Already have a Lippert account? Log in to access the Business Account Center and Business Store.

Business Information

Bill To


Billing Address







Primary Ship To


Shipping Address








Business Information






State Sales Tax Exemption Form

Multijurisdiction Tax Exempt Certificate

Please fill out the pdf form in the link above and upload it. If your state is not listed in the form, let us know once we reach back out to you.

Click select files below and choose the file you want to share. If sending multiple files, select multiple by holding control and clicking or dragging the files you want in the file explorer.


You may upload up to 15 files (20MB)


Drop files here

    Broker Information




















    Primary User Information
    The Primary User will serve as the Business Account Admin and will have access to the Lippert Business Store for Parts Ordering and Account Center for User Management.







    Second User Information

    Second User Name







    Third User Information

    Third User Name







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