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New Wholesale Application

This form is to qualify and determine Alikay Naturals wholesalers for product resale. Please fill out the form below and allow five to ten business days for processing.

* Required
Business Name *
 
This is a required question
Business Address *
 
This is a required question
Business Days & Hours of Operation *
i.e., Monday - Friday (9:00am - 6pm), Saturday (10:00am - 4pm)
 
This is a required question
Business Tax Number/ Business ID # *
 
This is a required question
First Name: *
 
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Last Name: *
 
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Title: *
 
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Email: *
 
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Website: *
 
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Social Media Presence

 
Social Media Presence *
Please select all social media platforms that apply
 
This is a required question
Number of years in business *
 
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How did you hear about Alikay Natural products?
Please select all that apply.
 
This is a required question
Where do you plan to sell Alikay Naturals products?
 
This is a required question
Please list any other hair care brands you carry.
 
This is a required question
How soon would you like to place your first Alikay Naturals order?
 
This is a required question
Which is the best way to contact you?
Please select all that apply
 
This is a required question

Complete our online inquiry form below.

Full Name
*Email Address
Company Name
Phone Number
Order Number
RMA Number
*Details
*Captcha Check

Please copy the characters from the image into the text field below. Doing this helps us prevent automated submissions.

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Store Location

9087S Divamus Faucibus Str.,
City name, Postal Code,
CA 90896, United States.

Email: stores@domain.com Toll-free: (1800)-000-Avenues

Opening Hours: Monday to Saturday: 9am - 10pm Sundays: 10am - 6pm

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