Stockist Enquiry Form

Thank you for your interest in becoming a Vida Glow stockist. Please fill out the below form to submit your application. Our team will get back to you within 2 - 5 business days with the most relevant information for your business.

If you have any questions, please don't hesitate to reach out to the team at sales@vidaglow.com.

Contact Name*

Email Address*

Phone Number*

Business Name*

Country/Region*

City*

Street address*

State/Region

Postal code

Website URL

Tell us about your business*

How many years have you been in business?*

Do you have multiple stores? If so, how many?*

Who are your target demographics?*

Why is it important for you to range Vida Glow?*

How did you find out about Vida Glow?*

What other brands do you range?*

Please upload an image of the proposed retail space for the Vida Glow range

If applicable

Please upload an image of the treatment rooms

If applicable

Please upload an image of the interiors/exteriors of your retail space

If applicable

Is there any additional information you would like us to know about your business?