Professional Request Form

!NOTICE - IMPORTANT INFORMATION!

This form does not confirm access to our professional portal or establish a professional account. Prior to obtaining entry to our wholesale platform, it is imperative that your initial opening order be placed through your designated representative.

The following inquiries serve the purpose of aligning you with the appropriate representative and enhancing our understanding of your business.

Please be advised that individuals pursuing aesthetic studies are not eligible to request samples through this process. We appreciate your understanding in this matter. Additionally, it is important to note that a minimum purchase amount is required for your first order. Thank you for your attention to these requirements.

If you would like to schedule time to speak with a rep, please choose a link below based on your location (View map)

BOOK HERE for West or Midwest Regions

BOOK HERE for South or Northeast Regions & International