Business Name
*
Contact Name
*
First Name
Last Name
Phone Number
*
-
Country Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
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United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
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Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Store region
*
Please Select
Africa
Asia
Australasia
Europe
North America
South America
Customer Contact Number
*
Please let us know the number customers would call to reach you.
Customer Contact Email
*
Please let us know the email address customers would use to reach you.
Website
*
*
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Are you a tattoo artist or piercer?
*
Artist
Piercer
Other
How long have you been in the tattoo supply business?
*
Please Select
1-5 years
6-10 years
11-15 years
16-20 years
21+ years
Which product line are you interested in carrying?
Intenze Signature Line
Intenze GEN Z REACH compliant Line
Pro Nouveau By Intenze REACH compliant permanent cosmetics
What are your current total annual sales?
*
Where do you currently purchase INTENZE?
*
Please let us know the name of the store(s) that you purchase our ink from.
What region will you be selling INTENZE in?
*
If you are in a partner region, your application will be forwarded to the exclusive region partner
Where will you be selling INTENZE from?
*
Store Location
Delivery Truck / Route
Online Store
Tattoo Conventions
Catalog / Mail Order
3rd party online platform (Walmart, Amazon, Shopify, etc)
Other
Forecasted annual INTENZE sales?
*
Best estimate of sales
Expected initial investment?
*
What is the estimated value of your order you plan to place with us?
*
$1,000 - $1,999
$2,000 - $4,999
$5,000 - $9,999
$10,000+
Method of Advertising?
*
Email Marketing
Magazines
Mailings
Online Advertising
Social Media
Tattoo Conventions
Website
How do you sell your product?
*
Delivery
Phone
Online Delivery
Tattoo Conventions
Other
Please specify your other methods of selling products:
*
Approximately how many tattoo shops are within a 100 mile radius of you?
*
Approximately how many of those shops sell INTENZE?
*
How many clients do you serve?
*
Business References
Please enter 2 business references including company / shop name and contact phone number.
Business Reference 1
*
Business Reference 2
*
Business Reference 3
*
SUBMIT APPLICATION
If you have any questions please contact
distributors@intenzeproducts.com
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