Your Bestow Beauty Account Form: Clinic Name Clinic Owner First Name Clinic Owner Last Name Clinic Email Address Clinic Phone Number Are you a qualified Beauty Therapist or is there a qualified therapist within the clinic? (required)* Yes, I am a qualified therapist Yes, there is a qualified therapist within the clinic Clinic Physical Address for Delivery: Street Number, Name & Suburb City Region Post Code Clinic Postal Address (if different) The brand you are applying for today: bestow What product ranges does your clinic currently stock? What is your skincare philosophy? What appeals to you about Bestow? Clinic Owners Home Address Owners Phone Number Clinic Owners Personal Email Address What is the best email address for newsletters to be sent to (specials, new product releases etc) What is the best email address for account information to be sent to What is the best email address for shipping information to be sent to Submit Application
