PRIIA Wholesale Account Registration


Thank you for your interest in opening a wholesale account with us.  Please fill out the form below completely in order for us to set up your account properly.  Incomplete applications will result in delays until we are able to contact you. 

Once you have submitted the form below, you can expect to receive a response from our Wholesale Department within 2 business days.  If you have questions, please contact us and we will be happy to assist you.

* Required fields
Name *
E-mail Address *
Company *
Address 1 *
Address 2
City *
State or Province *
Zip Code or Postal Code *
Country *
Telephone *
Mobile phone
How did you hear about us?
How long have you been in business? *
Please tell us about your business *
Is your store online only? * Yes
No
Web site URL
I'm interested in: * Mineral Cosmetics Only
Natural Skin Care Only
Both
Preferred method of contact: *

I have read and agree to the Privacy Policy *

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**Please note that if your PRIIA™ wholesale account is approved, you will be required to supply us with at least one proof of business such as: Tax ID, Resellers Certificate, Business License, or Professional License/Credentials (esthetician, cosmetologist, nail technician or makeup artistry union card) either before OR at the same time of placing your opening wholesale order with us.  Your information must be current- no expired credentials will be accepted.  Thank you.



 


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