DISTRIBUTOR APPLICATION FORM Please fill out the application below to apply for a distributor account to receive access to distributor pricing. You will also receive our monthly promotions, company news, industry trends and educational videos. Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.First Name: *Last Name: *Business Name: *Address 1: *Address 2: *City: *State *Zip Code: *Website: *Phone: *Email *Tell us about your shop or beauty school, and what types of products you sell: *Submit