Contact Our Sales Department

For Resellers:
If you are a spa, salon, or retailer located in the United States or Canada and are interested in becoming an authorized reseller of the Affirmation family of products, please complete the form below. Sorry, our products are not yet available for export to Europe, Asia, or any other foreign countries not listed.

 
Company Name:
Contact Name:
Address:
Address 2 (optional):
City:
State / Province:
Zip / Postal Code:
 
Telephone:
Fax (optional):
   
E-mail Address:
Web Site Address (optional):
 
Number of Business Locations:
Do you have a physical store front?:
Do you have an online store?:
 
Products you are interested in selling:
(hold down the CTRL key and click to select multiple product lines)
 

Please tell us why you would like to become an authorized reseller. You may also include any comments or questions in this box:
(please do not include any web site addresses in the comments area)

 
 
 

 

 

 

Affirmation Skin Care, Affirmation Cosmetics, and Affirmation Hair Care
are trademarks (2006) of Coles Media Group