Authorized Dealer Application

Business Name*
Contact Name*

First NameLast Name
Phone Number*

Country CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Store region*
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?*

ArtistPiercerOther
How long have you been in the tattoo supply business?*
Which product line are you interested in carrying?

Intenze Signature LineIntenze GEN Z REACH compliant LinePro 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 LocationDelivery Truck / RouteOnline StoreTattoo ConventionsCatalog / Mail Order3rd 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 MarketingMagazinesMailingsOnline AdvertisingSocial MediaTattoo ConventionsWebsite
How do you sell your product?*

DeliveryPhoneOnline DeliveryTattoo ConventionsOther
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*
If you have any questions please contact distributors@intenzeproducts.com
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Business References