FACE CARE / Soins du visage
Request / Demande
COMPANY / Entreprise
*
WEB SITE / Site web
*
www.exemple.com
ADDRESS / Adresse
*
Street Address / No et nom de rue
Street Address Line 2 / Adresse ligne 2
City / Ville
State
Postal / Code postal
Please Select
Afghanistan
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American Samoa
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Nigeria
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Paraguay
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Poland
Portugal
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Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
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eSwatini
Sweden
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Tonga
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Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
NAME / Nom
*
First Name / Prénom
Last Name / Nom de famille
JOB FUNCTION / Titre de votre poste
*
Corporate Dept / Direction
Research & Development - Formulation Dept / Service R&D - Formulation
Sales-Marketing Dept / Service Ventes-Marketing
Production Dept / Production
Purchasing Dept / Service Achats
Consultant
Student / Étudiant
Other / Autre
PHONE NUMBER / Numéro de téléphone
*
-
Area / Région
Phone Number / Numéro de téléphone
E-MAIL / Courriel
*
exemple@exemple.com
PRODUCTS CLAIMS / Revendication de produits
ANTI-WRINKLE / Anti-rides
HYDRATING / Hydratant
ANTI-DARK SPOTS / Anti-taches
ANTI-AGING / Anti-âge
SKIN BRIGHTENING / Éclaircissant
FIRMESS-ELASTICITY / Fermeté ou élasticité
SELF-TANNING / Autobronzant
SKIN CELL RENEWAL / Renouvellement cellulaire
ANTI-DARK CIRCLES / Anti-cernes
ANTI-PUFFINESS-REDUCTION of UNDER-EYE BAGS / Anti-poches
EXFOLIATION - DESQUAMATION / Exfoliant - Desquamation
SKIN PROTECTION - REPAIR / Protecteur - Réparateur
ANTI-SEBUM - SEBUM CONTROL / Anti-sébum - Séborégulateur
MINIMIZE SKIN PORES / Réduit la taille des pores
ANTI-ACNE / Anti-acnée
PURIFYING / Purifiant
ROSACEA REDUCTION / Anti-couperose - anti-rosacée
LIP BALM / Baume à lèvres
ANTI-POLLUTION PROTECTION / Protection anti-pollution
OTHER / Autre
ADDITIONAL INFORMATION / Informations additionnelles
Please provide us with any additional information that will allow us to properly assess your needs / Veuillez nous fournir toutes informations additionnelles nous permettant de bien évaluer vos besoins.
Please send us all the files that can help us answer you adequately / Veuillez nous fournir tout fichiers nous permettant de vous répondre le plus efficacement.
Find files / Parcourir les fichiers
Cancel
of
APPROXIMATE RELEASE DATE / Date approximative de mise en marché
/
Année
/
Mois
Jour
yyyy-mm-dd
ESTIMATED BUDGET / Budget estimé
I give you permission to send me information by e-mail / Je vous donne la permission de m'envoyer des informations par courriel
*
Yes / Oui
Please confirm that you are a human being / Merci de confirmer que vous êtes un être humain
*
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