Apply for a Wholesale/Trainer Account

Use this form to apply for a wholesale or Trainer account.

Customer Information

First Name Required

Last Name Required

Email Required

Address 1 Required Address 2 Required

City

Country Required

State/Province

Zip/Postal Code

Company Name Required

Tax ID/ABN/VAT Number Required

Website Required

Academy Name (If Applicable) Required

Social Media Handles Required

Phone Number Required

How long have you been a PMU artist? Required

Are you currently affiliated with any other company's in the PMU industry? If so, which ones? Required

How long have you been a trainer? Required

How many students do you train per month? (approximately) Required

Please provide a brief explanation of your training syllabus: Required

How long has your company/academy been in business? Required

Do you sell products from a website/store?

How did you hear about our Wholesale/Trainer Program? Required

Missing Required Fields