WHOLESALE VENDOR APPLICATION

Thank you for your interest in becoming a Brilliant Lash Pro wholesale partner!

Our wholesale program is exclusively for licensed professionals and established lash businesses.

Please have your resale certificate ready to upload - this is required to complete your application.

Applications are typically reviewed within 1 business day.

Business Information

Business Legal Name *

DBA (if applicable)

State Registered *

Year Established *

Federal Tax ID (EIN) *

Resale Credentials

State Resale Certificate # *

Resale Certificate

Upload resale certificate here

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF ( max 2 Files )

Contact Information

Primary Contact Name *

Title *

Phone *

Email *

Shipping Address

Address

Payment & Ordering

Accounts Payable Email (if different)

Accounts Payable Contact (if different)

Estimated Monthly Order Value ($)

Authorization

Check this box to certify:

- All information provided is accurate

- I am authorized to establish a wholesale account

- I have attached a copy of our resale certificate

- I agree to Brilliant Lash Pro's wholesale terms and conditions