Thank you for expressing an interest in distributing Lucas’ Papaw
Remedies. We appreciate you taking the time to complete the following questionnaire
so we can best understand your company and whether we believe a partnership
would be mutually beneficial.

Please understand that due to the volumes of requests we receive,
not all applicants will be contacted, however your details will be kept on file
for any opportunities in the future.

If you have a product enquiry or issue please complete this form instead.

• Must operate as an established independent retail or distribution
  business (no marketplace-only sellers such as Etsy, Amazon, eBay, etc.)
• Must have established social media/website/images of retail space
• Must be physical retail primarily with online store supplementary
  (large scale online stores only are still encouraged to apply)
• Must stock other well-aligned brands
• Unique geographical location to our other distributors
• Must demonstrate a proven operating history, established customer
  base, and market presence. Applications from early-stage or newly established
  businesses will not be considered at this time

Thank you for taking the time to complete our questionnaire.

Please note that not all applicants
will be contacted at this time, however, your details will be kept on file for
future opportunities. If you do not want us to retain your details for future
opportunities, please let us know.

If you are enquiring about a country or
region that is currently selling Lucas’ Papaw Remedies, by completing this
form, you will consent to us sharing your details with our current respective
distributor.

Lucas' Papaw Ointment is listed on the Australian Register of Therapeutic Goods
ARTG No. AUST L 13397: 64445 - LIC No. 99