Interested in Becoming an LG CONSUMER ELECTRONICS Dealer? Simply provide us with the information below and an LG Customer Service Representative will contact you.

		= Required
	Salutation	-- Please Select -- Mr. Ms. Mrs. Dr.
	First Name:
	Last Name
	Job Title
	Phone Number
	Fax
	Email
	Company Name
	Doing Business As		Company alternative name
	Web Site URL
	Address1
	Address2
	City
	State
	Zip Code
	Region		Region or states in which you do business
	Number of Stores
	Business Model	Retailer Custom Installer Distributor Internet Retailer Rental Retailer Premium House Commercial (B2B) Educational Sales Lodging
	Annual Gross Sales for Televisions
	Annual Gross Sales for Other Audio/Video Products
	Which LG Products Are You Interested in Selling?
	What Other Manufacturer Lines Do You Carry in the Audio/Video Category?