KUSHAE Partner Network Application
Contact Name
First Name
Last Name
Contact Email
example@example.com
Contact Phone
-
Area Code
Phone Number
Business Name
Business Address
Web Address or Social Media Handle/Address
*
Business Phone
-
Area Code
Phone Number
EIN
Are you a mobile business (i.e. no permanent retail space/ travels to client locations for more than 50% of appointments)
Yes
No
If no, please describe your primary place of business (retail office, salon suite, rented space in salon, etc.)
Do you currently retail other products?
Yes
No
If yes, which brands do you currently retail?
When did you start your business?
Which services do you provide?
If offered training/certification opportunities which trainings would you be interested in: (check all that apply).
Vaginal Steaming
Vagacials
Laser Treatment For Darker Hues
New Waxing Techniques
Submit
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