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Wholesale partnership application
Bring the House into your business.
Section 01
Business Information
Business Name
*
Contact Person / Owner Name
*
Business Email Address
*
Business Phone Number
*
Business Address, City, State & ZIP Code
*
Business Website
Optional
Business Instagram or Social Media Handle
Optional
Section 02
About Your Business
What type of business do you operate?
*
Tattoo Studio
Beauty Salon
Spa / Skin Care
Beauty Supply Store
Retail Boutique
Online Retailer
Other
How long has your business been operating?
*
Less than 1 year
1–3 years
3–5 years
5+ years
Do you operate a physical retail location?
*
Yes
No
Both physical and online
How many business locations do you operate?
*
1
2–3
4–10
11+
Do you currently sell tattoo aftercare or skin-care products?
*
Yes
No
Section 03
Wholesale Interest
What is your anticipated initial order quantity?
*
50–99 cans
100–249 cans
250–499 cans
500+ cans
How frequently do you anticipate placing wholesale orders?
*
Monthly
Every 2–3 months
Occasionally
Unsure
Where do you plan to sell Lacrimae products?
*
In-store
Online
At conventions or events
Multiple locations
Why are you interested in carrying House of Lacrimae?
*
Section 04
Business Verification
Do you have a valid business registration?
*
Yes
No
Do you have a resale certificate or applicable sales tax permit?
*
Yes
No
Are you purchasing products for resale through your business?
*
Yes
No
Application acknowledgment
I understand the minimum wholesale purchase is 50 cans.
I understand wholesale accounts are subject to approval.
I understand pricing and shipping terms will be confirmed before purchase.
I confirm the information provided is accurate.
I agree to be contacted regarding my application.
Submit wholesale application
House of Lacrimae
Beauty in Every Tear.
