Professional Wholesale Application
Welcome! We are excited that you want to be a TOMA partner and give you access to professional equipment and products and wholesale pricing on products for resale. Please fill out the following application and we'll be in touch within 48 hours with approval notice. 
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What is your first name?  *
What is your last name?  *
What email would you like to use to set up your account?  *
What is your phone number (area code + 7 digit number)? *
If you have a website, please indicate: *
What professional license(s) do you hold?  *
Required
From what/which state(s)? *
Professional license number(s) *
How many treatment rooms do you have? *
Which facial services do you currently offer? *
Required
Do you have a state retail resale license? *
This is required by every state if you are going to buy products tax-free at wholesale pricing and resell them to customers. You will be required to collect state tax. Questions about this? We can help!
If yes, indicate state and license number: *
If no, would you like us to help you navigate reselling requirements?  
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How did you hear about TOMA? *
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