Retailer Registration Form

Thank you for your interest in Betty’s Best StripHair Gentle Groomer and future products. All fields marked with an asterisk must be completed. Qualified applicants will receive an invitation to Betty's Best Wholesale B2B portal for ease of online ordering. If you have questions please use our wholesale contact form.

CONTACT

Contact Name:

Business Name:

Email Address:

Phone Number - Office/Store: Phone Number - mobile:

SHIPPING ADDRESS

Street Address:

City: State/Province:

Country: Zip/Postal Code:

BILLING ADDRESS

Same as Shipping

Street Address:

City: State/Province:

Country: Zip/Postal Code:

Do you have an account with a preferred shipper? If yes, we will accomidate if possible

No Yes

BUSINESS

Company Registration Name

Tax (VAT/GST/EORI) ID Number

Name of store

Website URL

Number of stores Years in business

AGREEMENT

In order to process your request, you MUST agree to the terms & conditions in our Wholesale Agreement

I have read and agree to the Terms and Conditions.

Date

Acccount Manager

Message