Apply To Be A Wholesaler

Home Apply To Be A Wholesaler

Please fill out the form below to apply as a wholesaler.

* Required Information

First Name *

Last Name *

Email Address *

Password *

Confirm Password *

Salon Name *

Salon Website

Street Address *

Address Line 2

City *

State *

Zip Code *

Business Phone *

Street Address

Street Address 2

City

State

Zip Code

Description of your services

Phone Number

Website

Tax ID Number

Instagram Name

Facebook Name

How did you hear about Beiesa ?

Please do not include my business in “Find a Store”

By checking this box, you agree to the following statement: Advertising Beiesa online for a lower price than our retail price, or offering a discount online will result in expulsion from the Beiesa wholesale program

Full Name *

Date

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