Company Information
Please complete your company information below
Company name:
*
Contact Name (First & Last)
*
Shipping Address:
*
City
*
State
Zip Code
*
Country
*
Billing Address (if different)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Phone Number
*
Mobile Number
-
Area Code
Phone Number
Email Address:
*
Email Address for payment notification (if different)
example@example.com
Company Website
Liftgate required?
*
Yes
No
Hours of Operation
*
Hours
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Type of Business (Distributor, Importer, Retailer, etc.)
*
Distributor
Salon
Retail
Other
Sales Rep Name (if any)
Please upload your business license (10MB max)
*
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Please upload a picture of your storefront (10MB max)
*
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Please upload a picture of the inside of your store (10MB max)
*
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Detailed Business Info
We are interested in learning about your business. Please fill out the below
Current Account/ List of Key Customers(What Products, History)
Account
Products
Account
Products
Account
Products
Product line (Products and Brands you carry. Yearly Sales Volume):
*
Interest in VOESH / AVRYBeauty/ glowoasis
Which Brand(s) are you interested in
*
Voesh New York
Avrybeauty
glowoasis
What product(s) are you interested in?
*
Where did you hear about us?
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