Botanical Nail Care Products

Prerequisites for account approval:

A) Business must be a Salon and/or a Spa. B) Salon/Spa must offer professional nail care services. C) Salon/Spa must have been in business for a minimum of one year at the same location in the Continental USA. D) The zip code of the applying Salon/Spa must be an available territory. E) Salon/Spa must submit its EIN #.

If your business meets the above requirements, and you would like to become
an Authorized NAILTURAL Dealer please complete below.

Name of Salon or Spa:
Salon / Spa's Address:
Suite:
City:
State:
Zip:
Business phone:
Fax:
Email:
Website:
Owner's Name:
Name of Second Authorized Person:
Position:
Description of Business:
Years in Business:
Is Your Busininess a Salon/Spa?
Is Your Business?
Does Your Salon/Spa offer Nail Care Services?
Does Your Salon/Spa offer Retail Products?
Do You Own More Than One Salon/Spa?
Presently How Many?
Number of Employees:
List Parent Company or Subsidiary Salons/Spas if any:
Prefered Method of Contact:
Federal Tax ID Number:
Provide a Password (Minimum 5 characters) For Account Access:
Name of Applicant:
Signature:
Date:
Applicant's Relationship to Business: