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Wholesale Application Form

PFB Vanish REQUIRES ALL wholesale accounts to have a professional license to apply!
Please fill out one or both of the licenses, but wholesale businesses must enter their state resale number or enter Charge State Sales Tax.
No permits or non-active licenses.

Warning Gmail users: Please add sales@pfbvanish.com and pfb@pfbvanish.com to your approved senders list. If you don't, all PFBVanish communications will end up in your Spam/Junk folder.

Esthetician License #:
 
  
Cosmetology License #:
 
  
Business License #:
 
  
Resale Number *(required for all States or enter Charge State Sales Tax)
 
  
Business Name *
 
Owner Full Name *
 
  
Your Position with Company *
 
  
Type of Business *
 
  
* I Plan to sell PFBVanish Products on Ebay  YES   NO  
* I Plan to sell PFBVanish Products on Amazon  YES   NO  
* I Plan to sell PFBVanish Products on My Web Site  YES   NO  

First Name *
 
 Last Name *
 
Address *
 
 City *
 
State *
 
 Zip *
 
Phone *
 
 Email *
 
Web Site Address *
  
  
Instagram
  
 Facebook
  
* How did you hear about us? 
Ad? 
Which Ad?
 
Referral? 
Who?
 
Current User? 
Who?
 
Trade Show? 
Which Trade Show?
 
Other? 
What other?
 
Message *
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