Apply For A Wholesale Account

Applications are only accepted from skin care business professionals and licensed estheticians.
Please allow 24 business hours for review and
a representative will contact you via the telephone number provided.

1 Step 1

First Name

Last Name

Title/Position

Emaila valid email

Phone

*Best number to be reached

Business Information

Business Name

Street address

Town / City

State

ZIP

How did you hear about EMI?

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Which line or product are you most interested in?

0 /

Are you already a client of EMI?

YesNo

Which State is your Esthetician license issued?

0 /

Please provide your Esthetician number

License Valid Until or Expiration Date

Message

0 /