Healthy Hair Solutions Professional Wholesale Partnership Application

Healthy Hair Solutions Professional Wholesale Partnership Application

Complete this application to apply for wholesale access and professional pricing.
Contact Information
First Name
Last Name
Business Name
Business Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Shipping Address (if different)

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
City
State
Zip Code
Email Address
example@example.com
Mobile Phone
Please enter a valid phone number.Format: (000) 000-0000.
Business Phone
Please enter a valid phone number.Format: (000) 000-0000.
Website
Instagram
Facebook
Business Information
What best describes your business?

Other
How long has your business been in operation?
How many licensed professionals work at your business?
Licensing
License Number
State Licensed In
Business Tax ID
Resale Certificate Number
Upload Documents
Cosmetology License

Cancelof
Barber License

Cancelof
Business License

Cancelof
Resale Certificate

Cancelof
Wholesale Information
Approximately how much wholesale inventory do you expect to purchase each month?
How did you hear about Healthy Hair Solutions?
What interests you most about partnering with Healthy Hair Solutions?
Tell us about your business and why you would like to partner with Healthy Hair Solutions.
Agreement
Certification of Accuracy
Wholesale Application Decision
Wholesale Pricing Eligibility
Brand Integrity Agreement
Exclusive Territory Acknowledgment
Updates and Communications
Should be Empty: