Wholesale Application

First Name:
Last Name:
Company Name / School / Self-Employed:
Email:
Phone #:

Will you resell any products purchased from this website? NoYes
If Yes, then Resale Sellers Permit will be required.

Business Type (Select ALL that apply):
BarberBarbershop OwnerBeauty School BuyerBeauty Supply OwnerCosmetologistEstheticianMassage TherapistNail TechnicianSalon OwnerSpa DirectorSpa OwnerStudent

License Type: —Please choose an option—Cosmetology LicenseEsthetician LicenseBarber LicenseResale LicenseStudent ID

License #:

What State was the License Issued In:

Name on License:

Please leave this field empty.

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