Form

Offer KIIMA products in your store
Thank you for your interest in our company! Please fill out the form to become a retailer.

*Please note that retailers are not allowed to sell their cosmetics made using DIY molds. The DIY molds are sold at retail and are intended for personal use. If you wish to sell your cosmetics with KIIMA, please complete the Become a partner form.

Company name*

First name*

Last name*

Phone*

Email*

Best way to reach you

Phone

Preferred language*

Address*

City*

Zip code*

Country*

State or region*

Website*

Number of physical points of sale*

If you have multiple physical retail locations, please list all addresses.

Store name, address, postal code, province/region, country

By checking this box, I confirm that I have read and accepted the Reselling policy. Additionally, I consent to receive marketing emails tailored for retailers (account information, updates, promotions, new products).*