Business name:

Business phone number:

Business email:

Location address

Street address:

City:

State:

Zip code:

Website and/or social media handle

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Choose your brands:

POS system:

If other:

Service Providers (required for sales credit)

Contact person:

Contact phone:

Contact email:

Your Sullivan Beauty Consultant

I acknowledge that my StyListStore will have an annual hosting fee of $96 that will be charged to my Sullivan Beauty account upon submission of this application form. Annual hosting fee will then reoccur annually unless I cancel hosting with Sullivan Beauty.