New Retailer Application ✧ New Retailer Application ✧ New Retailer Application ✧ Name * First Name Last Name Title * Phone * (###) ### #### Email * Store Name * Business Name If different than your store name. Store Website http:// Instagram Account Years in Business * Brand(s) interested in carrying: * Après Beauty Belen Daughter Lessons Fore-té House of Olia INDY Miranda Frye Playground Active Waverles Your Inner Babe 5 Brands You Currently Carry * Buyer Name First Name Last Name Store Manager Name First Name Last Name Store Phone * (###) ### #### Store/Shipping Address * Address 1 Address 2 City State/Province Zip/Postal Code Country If you have multiple locations, please list them here Billing Address If different than shipping address. Address 1 Address 2 City State/Province Zip/Postal Code Country What tradeshow(s) do you attend? * STYLEMAX Chicago FIG Dallas CALA SF CALA Denver CALA Scottsdale CALA Salt Lake City COTERIE Miami I prefer to order online Thank you for your application. Someone will contact you if approved.
