Wholesale Application Welcome to the Public Beauty Wholesale Program We're so excited to work with you. Please start by giving us some more information about your business so we can learn how to best serve your needs. OK Question Title * 1. Please enter your info: Full Name * Company * Shipping Address * City/Town * State/Province * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code * Country Email Address * Phone Number * OK Question Title * 2. Which best describes your business? Beauty Retailer Beauty Retailer (multi-location) Salon/Spa Salon/Spa (multi-location) Online market place Distributor Aesthetician Other (please specify) OK Question Title * 3. Where do you plan to sell Public Beauty products? In Person Website Physical Store Service Appointments Ebay Amazon Other (please specify) OK Question Title * 4. How many units would you like to order? OK Question Title * 5. Please list links to your site, and social media accounts: Website Instagram Other Other OK Question Title * 6. Please share any other info. How can we best support your business? etc... OK DONE