RETAILERS AND DISTRIBUTORS FORM

Become a LACAILLE Beauty retailer or distributor

Thank you for your interest in our products

Name
First Last
Business Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email
Website
Upload retail seller permit*
Max. file size: 2 GB.
Upon Receipt of the required information, a representative will provide the purchase and resell of goods agreement along with the wholesale price list.