Wholesale Application Form

Wholesale Application

Thank you for your interest in becoming an official Dr Locs retailer. Our wholesale program is designed for salons, boutiques, and retailers who are passionate about offering clean, effective products made specifically for loc’d hair. Please complete the form below to apply for a wholesale account. Once approved, you’ll gain access to exclusive pricing, marketing materials, and support from our team. We look forward to growing with you!
Business Name
Point of Contact Name*

First NameLast Name
Role/Title*
Instagram Handle
Where do you plan to sell Dr Locs products?*
Estimated Monthly Order Value or Quantity*
Do you plan to use Dr Locs for backbar, retail or both?*

BackbarRetailBoth
Number of locations:*
Business License Number or Resale Certificate
Business Shipping Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is this a brick and mortar store?*

YesNo
Business Phone Number*
Direct phone number to reach you*
E-mail*
example@example.com
What Type of Business are you?*

Beauty Supply StoreSalonGrocery StoreOther (please specify in Notes)
Number of Employees*
How did you hear about us?*
Do you offer products for Locs currently?*

NoYes
How long have you been in business?*

haven't started yetunder 1 year1-2 yearsover 3 years
Which products are you interested in carrying?*

Pre-CleanseYasin ShampooIsland Breeze Moisture MixJinan Moisture Moisture MixImani Locking SprayYaya OilSweet Peppermint Clarifying ShampooRose Lavender Color Protecting ShampooAmla Extract ConditionerTrial Kits
Notes / Anything else we should know about your business?
Today's Date*

MonthDayYear
Date
Should be Empty: