CATALOG REQUEST FORM
Date:   Source:  
COMPANY CONTACT
ADDRESS TITLE
CITY, STATE, ZIP E-MAIL
COUNTRY WEBSITE
TELEPHONE - - FAX - -
Year in Established No. of employees Annual Sales Volume $
Territory Served Estimated Order Amount $
Ownership Sole Proprietor     Corporation     Partnership     Other :
Type of Business   Retail     Wholesale     Distributor     Importer     Exporter 
Chain Store with ( )branches     Other :
Type of Industry   Beauty Supply     General Mechandise     Mass Retailer     Pharmaceuticals    
Grocery     Convenient Store  Other 
Number of Accounts You Service:  
CATALOG REQUEST   * Please provide us the brands you carry now.
Vol. 53 PERSONAL CARE PRODUCTS 
        Manicure / Pedicure / Personal Implement 
VOL.51 MAKE UP TOOLS 
        Cosmetic Brushes 
        Cosmetic Sponges 
        Eyelashes 
VOL.52 HAIR BRUSHES & COMBS 
        Hair Combs / Hair Brushes 
VOL.49 CALA PRO TOOLS 
        Manicure / Pedicure / Personal Care 
VOL.50 BATH & SPA ESSENTIALS 
        Facial Care / Bath Accessories 
VOL.43 NAILS & NAIL ART 
        Professional Nail Tips 
        Full Cover Nails / Nail Art 
YOUR TRADE REFERENCE IN UNITED STATES
Company Name City State Items How Long Phone No. Contact Name
1
2
3
I agree the information above is correct.
Print Name:
Title:
  
Freight Collect Provide Carrier
FedEx   UPS   DHL
Account # :  
Office Use Only
Approved By:
Sales Person Assigned:
Account: New    Old