BECOME A DISTRIBUTOR



I AM AN ESTABLISHED BEAUTY SALON, HAIRDRESSER OR NAILSALON I AM NOT A PROFESSIONAL BEAUTY TECHNICIAN BUT I AM INTERESTED IN YOUR PRODUCTS I WANT TO BECOME A DISTRIBUTOR
SAFETY SHEETS ROAD INDICATIONS

NAME (*)

COMPANY (*)

FUNCTION (*)

ADDRESSE (*)

POST CODE (*)

CITY

COUNTRY (*)

PHONE NUMBER (*)

FAX NUMBER

E-MAIL (*)

WEB SITE

ACTIVITIES (*)

REPRESENTED BRANDS (*)

YEARLY TURNOVER (*)

NUMBER OF CUSTOMERS (*)

KIND OF CUSTOMERS (*)
(beautycians, hairdressers, other, ...)

NAIL EXPERIENCE yes no

TRAINING yes no

EDUCATOR yes no

COMMENTS

Fields marked with (*) are mandatory