I. ACCOUNT DETAILS

If you do not have a storefront, please put in PO Box or leave blank

II. CONTACT DETAILS

III. LOVEVA PROGRAM ELIGIBILITY

IV. MEMBERSHIP PRICING

Once this application form is received, an invoice will be emailed to you for payment. All memberships paid by credit card are automatically renewed annually with 30-day notice of charge prior to renewal. If you do not wish to auto renew membership, please check box below.

V. AGREEMENT

By completing the section below, you are agreeing to the Terms & Conditions in Section VI and that you have the authority to make decisions on behalf of the Organization outlined in the Application. You also agree to the LOVEVA merchant terms and conditions and privacy policy located online at bealocalloveva.com.

VI. RETAIL ALLIANCE & LOVEVA MEMBERSHIP TERMS & CONDITIONS

Click link below to refer to the terms and conditions of membership.

What is 11+4?

Once you have completed the form, click Submit and one of our membership advisors will be in touch with you asap.