Wholesale Customer Registration Form

Company Information:

Business Name

Business Type

Retail StoreSalon/SpaOnline RetailerOther

Company Registration Number:

VAT Number (if applicable):

Business Address:

City/Postcode

Country

Contact Details:

Contact Name:

Position in Company

Phone Number:

Email Address

Website (if applicable):

Business Verification:

How did you hear about us?

Do you currently stock beauty/cosmetic products?

YesNo

Please provide any relevant business references (optional):

Order Preferences & Requirements:

Estimated Monthly Order Value (£):

Would you like to receive our wholesale catalogue and offers via email?

YesNo

By submitting this form, you agree to the Luxe Distribution Wholesale Terms & Conditions, including minimum order requirements and compliance with our resale policies. For any queries, please contact us at info@luxedistribution.co.uk.