Account type requested *

Place of work

Salon / Spa
Treatment Clinic
Individual Practitioner

Title

First name *

Last name *

Business name (if applicable):

Address *

Postcode / Zip *

Country *

Email *

Phone *

Billing address (if different to above)

Postcode / Zip

Describe your business *

Please upload relevant qualifications *

Website

Instagram

YouTube Channel

Your business

Retail (online / instore)
Salon / Spa
Treatment Clinic

Title

First name *

Last name *

Company name *

Address *

Postcode / Zip *

Country *

Email: *

Phone: *

VAT registration number *

Company registration number

Billing address (if different to above)

Postcode / Zip

Describe your business:

Services offered & brands sold *

Average customer spend & visits per year: *

Number of years trading: *

Number of store locations:

Number of treatment rooms:

Website: *

Thank you.

We will be in touch once our team have reviewed your application. If successful, you will receive a login to our wholesale portal.

Regards,

The Light Salon

Thank you.

We will be in touch once our team have reviewed your application. If successful, you will receive a login to our wholesale portal.

Regards,

The Light Salon

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