WHOLESALE APPLICATION Join the Program PLEASE SUBMIT YOUR INFORMATION BELOW TO APPLY TO BECOME A MANE TAME WHOLESALER. A DEDICATED MEMBER OF OUR TEAM WILL CONTACT YOU PROMPTLY. "*" indicates required fields Choose what role best categorizes youChoose what role best categorizes you Wholesaler Distributor Contact InformationUsername*Password* Enter Password Confirm Password Name* First Last Email* Phone*Best Time to Contact You* Morning Afternoon Evening Business InformationName of Business*Website / URL Business Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Professional License # (Cosmetology or Barber)Upload Copy of LicenseMax. file size: 100 MB. EIN / Tax IDResale License #Upload W9 FormMax. file size: 100 MB. Download Here W9 Form: https://www.irs.gov/pub/irs-pdf/fw9.pdfComment or Message Δ