WHOLESALE CLIENT APPLICATION

Phone No: E-mail Address:
WHOLESALE CLIENT APPLICATION
Name:
Date of Birth:

MonthDayYear
Date
Address:
Phone No:
E mail Address:
example@example.com
Business Name:
Length of Time in Business:
Business Address:
Business Phone No: Business E-mail:
Business Phone No:
Business E mail:
example@example.com
Please submit a required government Photo ID for this application to be reviewed.

Terms & Conditions of Wholesale Orders

The wholesale order minimum is five (5) products. Orders are to be placed via our website along with the unique coupon code that will be provided to you upon the approval of your application. This code can only be used in association with one e-mail account. All wholesale accounts and orders will be monitored by our agents. If it is discovered that your assigned code is being used by another party, your account will be immediately suspended.

By submitting this application, I, the undersigned, certify that all information on this application is accurate and true.

Signature: Print Name:
Signature:

Clear
Print Name:
Date:

MonthDayYear
Date
Beauty Logistics | Ph: 242.458.4904 | www.beautylogisticsbn.com
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