Professional Programme — Application Form

Apply for wholesale access and register your business team to earn referral commissions.

Business Details

Business / trading name *

Registered business name, if different Legal business name for billing.

Business type *

Company registration number If your business is a registered company.

Website address

Instagram account

Are you VAT registered? *

Yes No

VAT registration number *

Main Account Contact

This person will be the main contact for the Shopify company account. Shopify B2B customer accounts use an emailed verification code to log in.

First name *

Last name *

Job title / role *

Account email address * The email you’ll use to log in and manage your professional account.

Contact telephone number *

Delivery & Billing

Delivery Address

Delivery contact name *

Delivery telephone number *

Delivery address line 1 *

Delivery address line 2

Town / city *

County / state / region

Postcode / ZIP code *

Country *

Is your billing address the same? *

Yes No

Billing contact / company name *

Billing address line 1 *

Billing address line 2

Town / city *

County / state / region

Postcode / ZIP code *

Country *

Delivery instructions

Referral Commission

Add the people you would like to register for our referral programme. Once approved and set up, each person can earn commission on qualifying purchases referred to our website.

I confirm that I am authorised to apply on behalf of this business. * I agree to the Professional Programme terms and conditions. * I confirm that the people listed know their details are being shared with The Cosmetic Consult for referral programme registration. *

Read our Privacy Notice.

Your basket is empty

Your basket

Total

Professional Programme — Application Form

Delivery Address

BE THE FIRST TO KNOW

Country/region

Select your free complimentary gift

Miracle Body Transformation Sachets x 2

Hair Claw Clip

Professional Programme — Application Form

Delivery Address

Select your free
complimentary gift