Business Information

Business Name

Contact Person

Business Address

Website URL

Email Address

Phone Number

Years in Business

Type of Business:
Retail StoreOnline StoreSpaSalonWholesale / Distributor

Current number of Retail Stores:

Do you currently sell beauty and cosmetic products? If yes, please list the brands you carry:

Additional Information

Briefly describe your target market and customer demographic:

How did you hear about us?

Wholesale Intentions

Which Product Brand(s) are you most interested in carrying?
Madeca DermaCentellian 24W.dressroomProfessional Beauty DevicesPersonal Beauty Devices

What quantities are you interested in ordering initially?
Less than $20K$20K - $100K$100K - $500K$500K+

Do you plan to sell our products online? If yes, please provide your eCommerce website URL.

Do you have any special requests or considerations?

Agreement

By submitting this application, you acknowledge that:

- Besselco reserves the right to approve or deny any wholesale application.
- Wholesale orders are subject to minimum order quantities and pricing as outlined in our wholesale pricing guide.
- All wholesale orders are final sale and may not be returned unless defective.
- Wholesale pricing is confidential and should not be shared with the public.