Wholesale

Information

PLEASE FILL OUT THIS FORM FOR ALL WHOLESALE INQUIRIES AND A
REPRESENTATIVE WILL GET BACK TO YOU WITHIN 24 HOURS.

 * Minimum order quantity per product is 6 units

WHOLESALE
OWNER NAME(S):*
Email:*
AUTHORIZED BUYER NAME(S) :*
PHONE ( AREA CODE-PHONE NUMBER ):
COMPANY / BUSINESS NAME:
BUSINESS TYPE: (I.E SALON / BEAUTY SUPPLY STORE / ONLINE RETAILER)
NUMBER OF LOCATIONS
STREET ADDRESS :
STREET ADDRESS 2:
STREET ADDRESS 3:
CITY :
STATE / PROVINCE :
POSTAL / ZIP CODE :
COUNTRY:
WEBSITE (IF APPLICABLE) :
SOCIAL MEDIA SITES :
HOW DID YOU HEAR ABOUT US? :
HOW LONG HAVE YOU BEEN IN BUSINESS? :
STORE / SALON HOURS :
I certify that the information provided on this form is truthful and complete.
PLEASE TYPE YOUR NAME BELOW *:
DATE:
* Required Fields
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