Retailer Application

Retailer Application


Thank you for your interest in retailing The Mane Choice Products! Please complete the application below. If your retail location meets our requirements a representative will contact you with further details.

Business Name (required)

Business Phone Number (required)

Business Email (required)

Business Address (required)

Country (required)

First Name (required)

Last Name (required)

Our Store is a (required)

SalonBeauty SupplyHealth Food StoreOnline StoreOther

If Store is other, please explain:

Number of years in Business (required)

Other product lines you currently retail (required)

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