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Contact Information
First Name
Last Name
Phone Number
Title
Email Address
Please attach a copy of your current esthetics license (.PDF or .JPG)
(Upload a JPEG or PDF)
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Which skin care brands do you currently offer?
What is the approximate square footage of your retail area
*Are you interested in the professional-only products, retail or both?
Professional
Retail
Both
Please note that Alchimie Forever products are allowed for use in your treatment room(s) and for sale in your physical location exclusively.
Click this box to indicate your understanding that you will not be selling Alchimie Forever products online, on your website, or on Amazon. If you are found to be in violation of the terms of this agreement you will be removed from the Alchimie Forever approved vendor list and no longer be allowed to purchase Alchimie Forever products.
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