Wholesale Application Form
Alex Cosmetic
Before submitting your application, you must have a customer account with Alex Cosmetic. Please provide your account ID. If you haven't made one yet, join now!
https://alexcosmeticusa.com/
How did you hear about Alex Cosmetic? *
- Trade Show
- Social Media
- Referral
- Other
What are you interested in? *
Please select all that apply.
- Retail Products
- Professional Back Bar Products
- Herbs2peel In Person Training
- Herbs2peel Webinar
- Fruits2peel
Please provide your full name
Street, City, State, ZIP code, and Country
Type of Business *
- Day Spa
- Medical Spa
- Nail Spa
- Esthetic School
- Solo Esthetician
- Esthetic Student
- Other
If you selected other please specify
Note
Please provide details about your business (e.g., the number of treatment rooms, how long you have been in operation, etc.).
- {name}
Seller Permit, Business License, or Professional License *
Please submit a copy of your license here
Attach file
Drop files here
How do you prefer to be contacted? *
- Phone
- Text
- Email
Terms and Conditions *
I certify that all information on this application is accurate and true to the best of my knowledge.
I acknowledge that participation in a training seminar and/or webinars is mandatory for purchasing and administering Alex Cosmetic's fruits2peel (A-Peel) and herbs2peel (B-Peel & C-Peel) treatments.
I acknowledge and agree not to reproduce, duplicate, copy, sell, or exploit any pictures, products, services, or information available on the Alex Cosmetic USA website. Sales are authorized solely through your spa or retail store, and resale on third-party websites is restricted.
I acknowledge that I may not use Alex Cosmetic products for any illegal or unauthorized purposes, and I will not violate any applicable laws in my jurisdiction, including but not limited to copyright laws.
I am fully aware that any breach or violation of these 'Terms and Conditions' will result in the immediate termination of services provided to me by Alex Cosmetic USA & Alex Cosmetic Skin Care.
By clicking “Submit” below, you agree that Alex Cosmetic will store and process the personal information provided below to provide you with the requested information.
Email me a copy of my responses.
Do not submit passwords through Airtable forms. Report malicious form