Become a stockist

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If you already have a Business Account please login to your account.

BASIC INFORMATION

Name

Business Name*

Email*

Please note, this will be used to create your account and sign in should your application be approved.

Profession*

BUSINESS INFORMATION

Number of clients treated per week*

What other skincare brands do you currently work with?*

What advance skin treatments do you offer?

What advance skin treatments do you offer? - Other

BUSINESS ADDRESS

Address*

BUSINESS DETAILS

Which Clever Beauty brand are you interested in?*

Which Clever Beauty brand are you interested in?

Mobile*

Clinic Website*

Social Media Links

Select all that apply*

Please specify to ensure we can tailor our services to meet your business needs.

Bricks & Mortar

Online

Mobile

Make-Up Artist

Home-based

ADDITIONAL INFORMATION

How did you hear about us*

How did you hear about us

How did you hear about us - other

Have you been referred and by whom?*

Have you been referred and by whom?

Yes

Have you been referred and by whom? - Yes

By applying for an account (clicking register) you hereby acknowledge that you are legally authorised to do so and accept in full the terms and conditions. A password will be sent to your email address when your account is approved.

Comments

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