Registration Form
Deadline for registration is 07/22/2024
Your Name
*
First Name
Middle Name
Last Name
Business Name
*
Company Number
i.e Employer Identification Number (EIN)
Business Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
example@example.com
Website (if applicable)
example: www.londonlashpro.com
Mobile Number
*
Work Number
*
Social Media
*
Facebook/Instagram/Tiktok
Type of business
*
Please Select
Salon
Retail Store
Other (please specifiy in comments)
Do you currently retail any other brands/products?
*
Please specify the brand and type of products you retail.
In your own words, describe why you want to become a London Lash Stockist
0/150
Additional Comments
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